Travel Nurse RN - Case Management
Bakersfield, CA
Talent4Health
5x8 hrs, Days

Schedule Notes:

Monday - Friday 8am - 4:30pm with rotating weekend coverage position. 

CA experience required. 

Must have utilization review and InterQual Guidelines experience.

Required Skills & Experience:
-(Level I) Two (2) years of experience or its equivalent as a registered nurse in an acute care hospital. 
-At least one (1) year of experience must be on a medical/surgical ward or unit. 
-(Level II) One (1) year of utilization review/discharge planning experience in an acute care hospital.
OR 
-Two (2) years of experience as a Case Manager in an alternate medical setting such as a clinic or physician’s office performing utilization review or discharge planning.
-Knowledge of payor source documentation requirements and governmental regulations affecting reimbursement. 
-Knowle dge of acute care nursing principles, methods and commonly used procedures. 
-Knowledge of common patient disease processes and the usual methods for treating them. 
-Knowledge of medical terminology, hospital routine and commonly used equipment. 
-Knowledge of acute hospital organization and the interrelationships of various clinical and diagnostic services. 
-Ability to effectively evaluate the medical records of hospital admissions regarding continuing stay necessity, appropriateness of setting, delivered care, use of ancillary services and discharge plans. 
-Ability to assess and judge the clinical performance of physicians and other health professionals. 
-Ability to communicate documentation needs in an effective and tactful manner that promotes cooperation. 
-Ability to teach co-workers what is needed and required in the medical record for reimbursement and audit purposes. 
-Ability to gather and analyze data and prepare reports and recommendations based thereon. 
-Ability to get along with physicians, other health providers, outside payor sources and the general public.