Registered Nurse - Case Manager

(Real Job : 2978771) Must have active WA license to submit. Please indicate the WA license status : Active , in Process or no license on your profile. IF " in process status " Please provide applied date and ETA of issue date If your traveler has worked for any Providence affiliated facility as a perm staff - they must be separated from the health system for a minimum of 3 months to qualify for a travel contract. Open to MSW Care Manager (& have EITHER Associate clinical license or LCISW) or RN Care Manager. Requires a 1) Masters in social work and 2)Washington-issued post-MSW license such as the licensed social work associate independent clinical. (The associate licenses are the precursor to the "full" social work licenses.) Please confirm with submission clinician has the required docs. Must have case management and discharge experience. Utilization management experience is helpful but not required. Will take local candidates at travel rate. Travel experience. Avg Daily Census : 18-20 SKILLS General Skills Exp : Acute Hospital, Patients with Communication Prob (Hearing / Speech), Community Programs (Income / Insurance), Community Based Service Programs, APS (REQUIRED) Advance Directives, Americans with Disabilities Act, High Risk Intervention Patient Vulnerability or Safety Risk, Knowledge of Cultural Issues, NASW Code of Ethics / Standards of Home Health Care, CPS, Emergency Detention, Adopt / Foster Care, Suicide / Homicide / Self-Harm (PREFERRED) Case Management / Assessment Exp : Admission Criteria, Conduct Initial Eval, Develop Plan of Care / Care coordination, Discharge Planning, Utilize InterQual Criteria, Utilize Milliman Guidelines, Appeals and Denials, Concurrent Review, Continued Stay Reviews, Medical Necessity, Retrospective Review, (REQUIRED) Assess Response to Treatment, Biopsychosocial Assessment, Geriatric Depression Scale, Mini-Mental State Examination (PREFERRED) Care Coord Exp : Coordinate Services - Home Care, Document Info to Facilitate Care Coord, Participates in Care Conference Activities, Referrals to Rehab and LTC Facilities, Refers to Other Disciplines / Resources (REQUIRED) Documentation / Communication Exp : Documentation According to Plan of Care, Documentation of Care Delivery / Plan / Goals / etc, Documentation Reflects Understanding of Coverage Criteria (REQUIRED) PREFERRED : Discharge Summary, Documentation of Patient / Caregiver Teaching / Learning Major Disease Processes Exp : Dementia, Stroke (REQUIRED) Cancer, CHF, COPD, Diabetes, HIV / AIDS, Immune Deficiency, Neurological Disorders, Paralysis, Psychiatric Disorders (PREFERRED) REGULATORY (REQUIRED) : CMS : Centers for Medicare and Medicaid Services, CPT (Current Procedural Terminology) coding and billing, Department of Health, DRG (Diagnosis Related Groups), HEDIS (The Healthcare Effectiveness Data and Information Set) Measures, HIPAA (The Health Insurance Portability and Accountability Act), ICD 10 Coding, NCQA (National Committee for Quality Assurance), OSHA : Occupational Safety and Health Administration, The Joint Commission / Core Measure / National Safety Goals, Worker's Compensation CHARTING (REQUIRED) : Epic, Cerner CERTS : BCLS required SKILLS : Med Surg Acute Care Required FLOAT : yes, Case manager responsibilities include care coordination, and discharge planning