Travel ContractRN Case Manager
$2,479-2,881/week
RN Case Manager
Irvine, California
City of Hope Orange County Cancer Specialty Hospital
$2,479-2,881/weekPosted 54 minutes ago
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Hourly Rate$65
Stated hours40
Job info
Job Opportunity: Case Manager (Registered Nurse)
Location: Irvine, California
Employment Type: Travel/Contract
Contract Length: 13 weeks
Job Description
- Complex inpatient Case Manager and Utilization Review RN role in a cancer specialty hospital setting.
- Start date: June 16.
- Shift: Day shift, 5 days a week, 8-hour shifts (8:00 AM – 4:30 PM).
- Rotating weekends required.
- Responsibilities include Epic & InterQual documentation and SBAR communication.
- Utilization Review duties: Admission Criteria, Care Coordination, Discharge Planning, Appeals and Denials, Concurrent Review, Continued Stay Reviews, Medical Necessity, Retrospective Review.
- Use of InterQual Criteria and Milliman Guidelines.
- Knowledge of CMS, CPT coding and billing, Department of Health regulations, DRG, HEDIS measures, HIPAA guidelines, ICD-10 coding, NCQA, OSHA, and The Joint Commission Core Measures/National Safety Goals.
- Experience with Workers Compensation cases.
Required Qualifications
- Valid RN license in California
- Bachelor of Science in Nursing (BSN)
- BLS certification issued by the American Heart Association
- Minimum 5 years of Case Management experience, including experience within the last year
- Experience in Long Term Acute Care and Rehabilitation settings
- Proficient in Utilization Review, including InterQual criteria
- Skilled in Discharge Planning
- Experience with Medical Coding
- Experience using Epic electronic health record system
Irvine, CA
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