Job Title: RN Case Manager Assistant

Job Description

We are seeking an experienced RN Case Manager Assistant to join our team. In this role, you will provide comprehensive case management for patients at skilled nursing facilities, ensuring coordination with team members across various departments. You will also conduct medical necessity screenings and work collaboratively with the interdisciplinary team to provide care coordination under the direction of a Registered Nurse, adhering to evidence-based practices and regulatory requirements.

ResponsibilitiesProvide comprehensive case management for patients at skilled nursing facilities.Coordinate with skilled nursing facility team members, including nursing, rehab, discharge planning, dietary, admission, DON, administrator, and physicians.Conduct medical necessity screenings and submit for Physician Advisor review.Implement the transition plan based on RN Case Manager and/or Social Worker (SW) assessments.Communicate with the interdisciplinary team during patient care conferences.Manage concurrent disputes and communicate with patients and families regarding the plan of care established by RN, SW, and Physician.Collaborate with physicians, office staff, and ancillary departments.Maintain clear, complete, and concise documentation in electronic systems.Ensure accurate patient demographic and insurance information is maintained.Identify and document potentially avoidable days.Report over and underutilization.Ensure the patient is in the appropriate status and level of care based on medical necessity processes.Communicate clinical data to payers to support admission, level of care, length of stay, and authorization for post-acute services.Advocate for the patient and hospital with payers to secure appropriate payment for services rendered.Complete clinical reviews and promote prudent utilization of resources.Identify appropriate level of care needs and assist with patient transition to the appropriate level of care.Clarify orders and manage patient transitions within the acute care setting.Essential SkillsActive RN license.Experience in an acute hospital setting (200-300 bed hospital) as a floor nurse or clinical role.Discharge planning experience in a hospital setting.Proficiency with HealthConnect or EPIC systems.Additional Skills & QualificationsClinical experience in a hospital.Excel data entry skills.Savvy with data entry and management.Work Environment

This is an inpatient role with a schedule of Monday through Friday, rotating weekends (every other weekend), from 8am to 5pm. The work environment is dynamic and involves collaboration with various departments and team members to ensure optimal patient care and resource utilization.

For immediate consideration, email your updated resume to ryreyes@ actalentservices.com along with a couple of reasons why you're a strong fit for the role.

Pay and Benefits

The pay range for this position is $60.00 - $60.00

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

� 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 Irvine,CA.

Application Deadline

This position will be accepting applications until Dec 19, 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 for other accommodation options.