RN Case Manager
Charlotte, NC
PRIDE Health
5x8 hrs, Days
Referral Bonus

Job Opportunity: Registered Nurse - Case Manager

Location

• Charlotte, North Carolina

Employment Type

• Travel/Contract

Contract Length

• 13 weeks

Job Description

This position is for a Registered Nurse working as a Case Manager in a Skilled Nursing Facility setting within a hospital. The unit focuses on short-term rehab patients (14-21 days) requiring nursing and medical support, including physical, occupational, and speech therapy as needed.

Key Responsibilities

• Completing Minimum Data Set (MDS) assessments (current experience within last 3 years required; must be hands-on, not management)
• Baseline care plan completion and presentation to residents
• Care plan meetings and development
• Submission and validation of assessments
• Oversight of certification/recertification process
• Proper diagnosis coding for new admissions
• Education on MDS changes
• Triple check/utilization review ensuring accurate billing documentation
• Admission referral review and insurance preauthorization support
• Coordination of care and discharge planning
• Clinical documentation improvement and medical necessity determination
• Appeals, denials, audits, benefits eligibility, prior authorizations, and quality improvement reviews

Patient Population

• Patients with diagnoses ranging from generalized weakness to post-surgical aftercare, including surgical wounds and pressure ulcers.

Work Environment

• Ratio: 1:12
• Average daily census: 9 patients
• Rooms/Beds: 12
• Shift: 8-hour days, 08:30 - 17:00
• Call, float, and weekend requirements: None

Unit Systems and Equipment

• Pyxis medication system
• EPIC electronic health record system (including chat/Voalte and Rover)
• No use of restraints on the unit

Orientation

• 24 hours on the unit after one week of hospital orientation

Dress Code

• Navy blue scrubs (not provided)

Required Qualifications

• Valid Registered Nurse (RN) license in North Carolina
• Bachelor of Science in Nursing (BSN)
• Minimum 3 years of case management experience, including case management experience within the last year
• Minimum 3 years of hands-on Minimum Data Set (MDS) completion experience within the last 3 years (not a management role)
• Basic Life Support (BLS) certification issued by American Heart Association or American Red Cross
• Pediatric Advanced Life Support (PALS) certification issued by American Heart Association or American Red Cross
• Orientation Safety Manual Acknowledgement
• Experience in Long Term Acute Care (LTAC) settings
• Experience in Rehabilitation settings
• Experience in Skilled Nursing and Managed Care settings
• MDS coordinator experience
• Experience with admission criteria, appeals and denials, audits, and benefits eligibility
• Care coordination experience
• Clinical documentation improvement experience
• Ability to determine medical necessity per evidence-based guidelines
• Needs assessment experience including home health, hospice, and skilled nursing

Preferred Qualifications

• Experience with Diagnosis Related Groups (DRG), HIPAA guidelines, NCQA, OBRA, and Risk Adjustment Processing Systems (RAPS)
• Experience educating nursing staff on duties
• Additional certifications such as RAC-CT and ICD-10 coding

Traveler Experience

• First-time travelers are accepted; prior travel experience is not required

Additional Information

• No call, float, or weekend requirements
• 40 hours per week can be offered
• Must accept a 13-week contract length
• No Return to Origin (RTO) allowed after booking; call-offs or additional RTO may result in cancellation

Compliance and Documentation Requirements

Candidates must complete and provide documentation for the following (among others):

• Background checks within required timeframes
• Drug testing within 6 months of start
• Immunizations and titers (including TB, Rubeola, Mumps, Rubella, Hepatitis B, Varicella)
• Flu vaccination or approved exemption during flu season
• Physical exam (as per travel agency requirements)
• Competency exams including medication and EKG/dysrhythmia testing
• Various facility-specific orientation and compliance trainings
• Photo for badge creation (passport style, white background, business attire)
• Proof of completion of required certifications and education modules

This role is ideal for experienced Registered Nurses with strong MDS assessment skills and a background in skilled nursing or long-term care settings who are interested in a travel contract opportunity in North Carolina.