LanceSoft is seeking a travel nurse RN Case Management for a travel nursing job in Eureka, California.
#HCRR (PP).
-At least 3 years HOSPITAL Case Management/Utilization Management experience Required.
-Profiency with InterQual Required.
-Weekend Requirements: Required to work every other weekend.
Work Settings
Acute Hospital
Skills:
Case Management/Utilization Review
Admission Criteria
Appeals and Denials
Benefits Eligibility
Care coordination
Concurrent Review
Continued Stay Reviews
Determine Medical Necessity per Evidence-Based Guidelines
Disability case management
Discharge Planning*
Disease management*
Prior Authorizations
Utilize InterQual Criteria
Worker's comp case management*
Utilization Review
Admission Criteria
Appeals and Denials
Concurrent Review
Continued Stay Reviews
Medical Necessity
Utilize InterQual Criteria
Regulatory
CMS: Centers for Medicare and Medicaid Services
HIPAA guidelines (Health Insurance Portability and Accountability Act)
The Joint Commission/ Core Measure/National Safety Goals
Worker's Compensation*
Additional Skills
TEAMS and Microsoft
Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we're 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities.