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Form of workJob Description
Profession: Registered Nurse (RN)
Location: Grand Junction Colorado
Specialty: Utilization Review
Unit: Utilization Review RN, Care Manager
Gross Pay: TBD
Schedule: Unknown - Please consult with your recruiter., 00:01:00-16:01:00, 40.00-1
Guaranteed Hours: 40
Openings: 2
Start Date: 12/26/2023
End Date: 03/26/2024
Assignment Length: 13
Experience Required: 1 year
JOB ID: Medefis555426602
Other Info:
ID: 55426602 Shift: Full-Time Description: The Job: The Case Management function assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet the client s/patient s health and human services needs for an episode of care and, when appropriate, in transitioning from the acute inpatient episode. Provides advocacy, communication, collaboration, resource management, and education to interdisciplinary team, and its respective health plan contracts, and in the community. Effective allocation of healthcare resources while encouraging provision of high quality patient care is essential in this role. Is cognizant of regulations and policies of all review organizations relating to billing of the fiscal intermediaries and implements processes and changes to meet the Federal/State regulations.Work Schedule: Full TimeLocation: Community HospitalResponsibilities: Maintain and improve the case management system using ongoing interaction with patients, physicians, and other health providers to meet designated clinical, operational, and financial outcomes for aggregate patient populations. Assist physicians, patients, families, staff and payers in providing care for patient populations that is appropriate, effective, and cost efficient. Coordinates clinical review requests from payer sources to ensure timely reviews and ultimately timely payments to the hospital. Attend and actively participate in all departmental and interdepartmental meetings relative to Case Management/Social Services/Discharge Planning functions. EDUCATION and/or EXPERIENCE:Bachelor s Degree in nursing with at least three (3) years of clinical experience in a hospital setting, at least three (3) years of case management experience in a hospital setting, and at least two (2) years of Utilization Review experience with knowledge of evidence-based criteria guidelines OR equivalent combination of education and experience. CERTIFICATES/LICENSES:Current unrestricted Registered Nurse license in the State of Colorado (required) Case management certification (preferred) or will obtain within 1 year of employment Position Urgency:Quick Start Billing string = Medefis Guaranteed Hours: 40 Contract Weeks:91
TLC Nursing is an Equal Employment Opportunity ("EEO") Employer and welcomes all to apply.
TLC Nursing is your destination for boutique travel nursing jobs. TLC Nursing has the best travel RN, travel LPN, and travel allied jobs. Discover rewarding careers in travel nursing with TLC Nursing, a nurse-owned and operated travel nursing agency. Our wide range of job listings includes travel nursing jobs, travel allied jobs, travel RN jobs, and travel LPN jobs. We offer competitive compensation, comprehensive benefits, and a supportive work environment that fosters growth and development.
At TLC Nursing, we're not just a staffing agency; we're a healthcare family dedicated to positively impacting our community. Join a dynamic team and become part of a caring community that values your skills, dedication, and contributions. We invite you to download our iTraveler app from the App Store or Google Play to simplify your travel nursing journey. The iTraveler app streamlines your experience, providing access to job listings, schedules, and important updates at your fingertips. Stay connected with TLC Nursing and take control of your healthcare career with the iTraveler app.
Why Join TLC Nursing?
- Competitive Compensation: Earn the best weekly rates on your assignment. We will beat any offer for the same open position.
- Diverse Work Settings: Experience environments like acute care, long-term care, schools, clinics, summer camps, prisons, etc.
- Guaranteed Hours: Secure a consistent 36 or 40-hour workweek with opportunities for overtime.
Benefits:
- Your Wellbeing Matters: Health, Vision, and Dental Insurance.
- 401k with matching contribution.
- Paid Time Off (PTO)
- Immediate availability of Aflac for your purchase.
- Stay Comfortable: Opt for our fully furnished housing, including utilities, or choose a housing stipend.
- Unlimited referral bonus!
- Access to unlimited continuing education units online.
We are proudly a Nurse-owned and operated travel nurse and travel healthcare staffing agency!
Voted The Best Staffing Agency in 2023, 2022, 2021, 2020, 2019, 2017 by Vermont Business Magazine!
TLC Nursing provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Most facilities TLC Nursing works with require Candidates to be fully Vaccinated for COVID and Flu. Some facilities may accept Religious and or Medical exemptions from Vaccination. Proper documentation is required and needs to be submitted to our client for approval. The client facility makes all exemption decisions, and TLC Nursing has no control over this matter.
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