Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Cambridge, Massachusetts.
Shift: 40 hours per week
Usually M-F 8-4:30
Occasional weekend may be required
Primary Responsibilities:
1. Performs utilization review and discharge planning to inpatient admissions to MAH.
2. Applies InterQual Inpatient criteria approved by the MACIPA (risk) and MAH (non-risk) Utilization Management Committees to accurately determine appropriateness for inpatient and outpatient care.
3. Communicates with attending and house staff when options to inpatient care are identified.
4. Utilizes clinical expertise to determine the appropriate level of care for patients. Leads the healthcare team in selecting appropriate, safe, hospital or alternative care options.
5. Works with MAH nursing and social work staff to coordinate and facilitate patient discharge.
6. Identifies days not meeting acute hospital level of care criteria and reports them to the physician reviewer.
7. Works with patients and families to facilitate post hospital care and develop plans to meet short and long-term needs.
8. Accurately manages observation status patients by working with physicians to ensure appropriate utilization.
9. Is part of the department's Saturday, holiday and beeper rotation as needed.
10. Adheres to all insurance, contractual, and regulatory requirements as mandated.
11. Abides by MACIPA Case Management standards as per the MACIPA CM guidelines.
Epic experience preferred
At Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent staffing to our clients, and the most competitive contracts to our workforce. Our experienced team takes the time to get to know both our clients and candidates, their needs, and preferences, to ensure that each placement is a success.
We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire placements. Our extensive network of qualified candidates includes nurses, allied healthcare professionals, corporate support professionals and executives.
...Allied Universal, North Americas leading security and facility services company, offers rewarding careers that provide you a sense of... ...company discounts, perks, and more. *Now Hiring FULL-TIME, OVERNIGHT Security Truck Gate and Patrol Officers!* Monday through Friday...
...Henner Tank Lines, Inc., a leading contract carrier, is currently seeking local Class-A drivers to join our team. As an employee-owned and locally operated company, we value our drivers as integral members of our family, not just as numbers in an out-of-state operation...
Epi Research Assistant Location Chicago, IL (Illinois Medical District area) : Location: Chicago, IL Hospital: RUSH University Medical... ...study protocols. Availability to work evenings, overnight and weekends if called for under the study protocols. May require...
Join Our Team of Professional Drivers!We are seeking dedicated CDL A OTR drivers with at least one year of experience to join our elite team. As a certified top pay carrier, the top 50% of our drivers earn an impressive average of $92,254 per year. Here at Crete Carrier...
...Estimator Steed Construction, Inc Eagle, ID, United States (On-site) Estimator Eagle, Idaho Headquartered in Eagle, ID with an office in Salt Lake City, Steed Construction is a general contractor, construction manager, and design builder. We have consistently...