Job Title: RN Case Manager - Inpatient

For an immediate response, please email me your resume to: olellis @actalentservices.com , along with 3-4 bullet points as to why you would be a great fit for the role

Job Description

We are seeking a dedicated RN Case Manager Assistant to join our team and provide comprehensive case management for patients at skilled nursing facilities. This role involves coordination with the SNF team members, including nursing, rehab, discharge planning, dietary, admission, DON, administrator, and physicians. Additionally, you may be required to provide telephonic case management for the Special Needs Department.

Responsibilities

• Conduct medical necessity screening and work collaboratively with the interdisciplinary team to provide care coordination.

• Ensure compliance with evidence-based practice and regulatory requirements.

• Utilize management to support medical necessity and denial prevention.

• Promote appropriate length of stay, readmission prevention, and patient satisfaction.

• Demonstrate throughput efficiency while ensuring the right sequence and appropriate level of care.

• Comply with state and federal regulatory requirements and accreditation standards.

• Provide education to physicians, patients, families, and caregivers.

• Accurately document in the electronic system and maintain patient demographic and insurance information.

• Identify and document potentially avoidable days and report over and underutilization.

• Advocate for patients and secure appropriate payment for services rendered.

• Coordinate clinical care to support admission, continued stay, discharge, and post-acute care.

Essential Skills

• Active RN license

• Experience in an acute hospital setting (200-300 bed hospital) as a floor nurse or in clinical roles

• Discharge planning experience in a hospital

• Proficiency with HealthConnect or EPIC systems

• Strong documentation skills

Additional Skills & Qualifications

• Excel data entry skills

• Savvy with data management

Work Environment/Shift

This position follows a Monday to Friday schedule with rotating weekends (every other weekend). Work hours are from 8:00 AM to 5:00 PM or 8:30 AM to 5:00 PM. Join us for an engaging work environment with opportunities for professional growth and development.

For an immediate response, please email me your resume to: olellis @actalentservices.com , along with 3-4 bullet points as to why you would be a great fit for the role

Pay and Benefits

The pay range for this position is $55.00 - $65.00

• Medical, dental & vision• Critical Illness, Accident, and Hospital• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available• Life Insurance (Voluntary Life & AD&D for the employee and dependents)• Short and long-term disability• Health Spending Account (HSA)• Transportation benefits• Employee Assistance Program• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully onsite position in Wildomar,CA.

Application Deadline

This position will be accepting applications until Dec 17, 2024.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

• Hiring diverse talent

• Maintaining an inclusive environment through persistent self-reflection

• Building a culture of care, engagement, and recognition with clear outcomes

• Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.