Pay Rate: $2,200.00 - $2,400.00 gross per week
Number of Positions: 1
Specialty: Case management
Start Date: As Soon As Credentialed
Travel: All inclusive - Provide onsite lodging, a minute walk from the facility.
Assignment Length: 13 weeks
EMR: RPMS
Schedule: 5x8s Tuesday - Saturday
Call: N/A
Additional Details about the position
- Monitors external referral activities set by PRC, providing quarterly reports to ensure the department is on track to meet necessary measures.
- Provides case management for patients needing referred care for a range of modalities.
- Works with the patient, family and an interdisciplinary team; develops a care and service delivery plan based on needs of patient, available provider, and financial resources.
- Conducts appropriate concurrent and retrospective reviews on referred care to patients to determine the appropriateness of procedures, and the necessity of continued care.
- Determines medical necessity and appropriateness of level of care using Centers for Medicare & Medicaid Services (CMS) approved criteria for inpatient and outpatient referred care encounters.
- Checks the severity of illness, intensity of service and criteria on referred patients.
EXPERIENCE REQUIREMENTS
- 1 year case management or utilization review
CERTIFICATION REQUIREMENTS
LICENSURE REQUIREMENT
ABOUT THE FACILITY
IHS outpatient health center in northern AZ
DC
Benefits: (NurseStar Covers 50% of your monthly benefit cost)
- Dental Insurance
- Health insurance
- Paid sick time
- Paid time off
- Travel reimbursement
- Vision insurance