Schedule: 40 hours per week. 8s. 8a - 430p. Primarily at .Edmonds, but would need to be open to floating to other campuses per the contract terms
Float Requirement: Yes; All .travelers are required "first to float" This can include multi campus float when applicable.
Must have:
WA RN license
BSN
BLS (AHA) Certifications
Epic experience
Travel Experience Preferred
1 - 2 years CM experience ***MUST BE ACUTE EXP***
In this position you will:
Clinical Essential Functions:
Performs new admission assessments within designated time frames.
Facilitates/supplements the staff nurse role in reviewing, interpreting, integrating and analyzing patient clinical findings. Communicates clinical findings and care recommendations effectively and collaboratively to achieve targeted outcomes.
Ensures consistent standard of care including the physician specific plan of care is followed for all patients. Assures appropriate tests and treatments to the diagnosis are completed. Ensures referrals for medical consults are completed in a timely manner. Identifies “Captain of the Ship” in complex cases with multiple practitioners.
Intervenes clinically, as appropriate, proposing alternatives to ensure a cost effective and efficient plan of care that meets clinical and regulatory standards. Provides supportive and therapeutic clinical interventions as indicated.
Evaluates and facilitates documentation
Psychosocial Essential Functions:
Identifies risk factors and/or strengths of patient/family support system on admission and refers/communicates to appropriate team members. Identifies abuse/neglect and refers appropriately for evaluation and reporting.
Assures ethical situations are identified and makes referrals to Medical Ethics Committee as indicated.
Ensures advance directives are in place and honored according to the patient’s wishes.
Identifies primary patient/family decision maker and communicates care plans as indicated. Initiates and participates in patient/family conferences as needed.
Financial and Utilization Management Essential Functions:
Maintains knowledge of particular reimbursement methods and communicates reimbursement information to patients, families and the healthcare team.
Ensures patients are placed in the appropriate level of care according to the clinical situation and prescribed plan of care. Screens for continued medical necessity and level of care. Assures approved days from payers.
Pre-screens for financial issues surrounding admissions and transfers. Refers patients to financial counselor for information and to implement financial assistance forms.
Maintains awareness of payer contract requirements. Collaborates with managed care contracting staff on elements of plan performance and contract requirements. Conducts utilization review activities as required by managed care contracts.
Issues and explains extended stay denials. Reviews impending denials with physician advisor. Assists with information to support appeal of any business office denials. Researches clinical denial claims and writes appeal letters.
Documents findings in patient medical record. Monitors avoidable delays and days.
Maintains awareness of interquel guidelines and DRG length of stay standards.
Required qualifications for this position include:
Bachelor's degree in Nursing Baccalaureate degree (BSN)
Current Washington State Registered Nurse License
Case Management Certification
Submission Packet to include: Resume, Skills Checklists(applicable to the specialty being submitted), applicable certifications and licensure if available. (!!!! associate as a combined pdf doc in Related tab)
Seniority level
Entry level
Employment type
Full-time
Job function
Other
Industries
Staffing and Recruiting
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