Travel Nurse RN - Case Manager - $1,424 per week in Lake Charles, LA
Company: Infojini Healthcare
Location: Lake Charles
Posted on: September 27, 2024
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Job Description:
ID: Shift: 08:00:00 - 17:00:00 Description: Registered Nurse
Utilization Review- Onsite -Temp to Perm-Local Candidates
onlyCurrent TX RN Compact license required-Please include Nursys in
submissionChristus System Office5101 N. O'Connor Blvd, Irving TX
75039Bill Rate- 53.00Monday-Friday 8 hoursJOB SUMMARY The RN
Utilization Review II is responsible for determining the clinical
appropriateness of care provided to patients and ensuring proper
hospital resource utilization of services. This RN is responsible
for performing a variety of pre-admission, concurrent, and
retrospective UM related reviews and functions. They must
competently and accurately utilize approved screening criteria
(InterQual/MCG/Centers for Medicare and Medicaid Services CMS
Inpatient List). They effectively and efficiently manage a diverse
workload in a fast-paces, rapidly changing regulatory environment
and are responsible for maintaining current and accurate knowledge
regarding commercial and government payors and Joint Commission
regulations and guidelines related to UM. This RN effectively
communicates with internal and external clinical professionals,
efficiently organizes the financial insurance care of the patients,
and relays clinical data to insurance providers and vendors to
obtain approved certification for services. The RN Utilization
Review Nurse collaborates as necessary with other members of the
health care team to ensure the above according to the mission of
CHRISTUS. MAJOR JOB RESPONSIBILITIES Applies demonstrated clinical
competency and judgment in order to perform comprehensive
assessments of clinical information and treatment plans and apply
medical necessity criteria in order to determine appropriate level
of care Resource/Utilization Management appropriateness: Assess
assigned patient population for medical necessity, level of care
and appropriateness of setting and services. Utilizes MCG/InterQual
Care Guidelines and/or health system approved tools to track impact
and variance Uses appropriate criteria se Guaranteed Hours: 40
Contract Weeks:83
Keywords: Infojini Healthcare, Lake Charles , Travel Nurse RN - Case Manager - $1,424 per week in Lake Charles, LA, Executive , Lake Charles, Louisiana
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