Travel Nurse RN – Case Manager in Tuba City, AZ

Job Description

POSITION SUMMARY

Incumbent serves as an Outpatient/Inpatient Case
Manager/Utilization Review Registered Nurse (CM/UR RN) for TCRHCC and is
responsible for direct supervision and supportive contact for the specific
group of identified patient assignments and high-risk patients. The CM/UR RN is responsible for designing and
managing a continuum of care focusing on empowering clients to achieve
demonstrable outcomes and self-sufficiency.
The CM/UR RN is responsible for assessment, service planning, and
resource acquisition, monitoring progress and initiating and responding to
emerging client needs. The CM/UR RN
performs Utilization Review and Management/Clinical Documentation Chart Reviews
of patients in the acute clinical care setting, ambulatory care setting and
will conduct UR reviews as required. The CM/UR RN will work closely with the
Social Work (MSW) Case Manager on Discharge Planning and Care Transitions. The CM/UR
RN will work closely with the Physician Advisor and participate on the UR
Committee as well as conduct Clinical Documentation Chart Reviews related to
peer review, financial or insurance determination, or claims denials. The CM/UR
RN will link the client with Community Social Service providers, health care
providers, substance abuse, and mental health providers to achieve specific
goals. The CM/UR RN will have experience
working with culturally diverse low-income populations having multiple barriers
to self-sufficiency such as: illiteracy, welfare dependency, domestic violence,
substance abuse, and mental health issues.
The CM/UR RN will work with a multidisciplinary team within the service
delivery setting. The CM/UR RN will be
committed to Case Management Services and have some collaboration with
Purchased and Referred Care (PRC) formally known as Contract Health Services,
providing assistance with the PRC Case Specialist. The CM/UR RN will be responsible to the
Director of Care Coordination.