Case Manager Travel Nursing Jobs in South San Francisco for RNs

Utilization Management: Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional policies/procedures, and other information to determine appropriate levels of care and readiness for discharge. (Interqual experience) Monitors the progression of the discharge plan and facilitates discussions with the multidisciplinary teams. ? Educates other healthcare team members on utilization and care coordination. ? Collaborates with and provides information to patients, families, physicians, and staff regarding the discharge plans and transitions. ? Understands and consistently applies the interpretation, and utilization of member health care benefits. ? Conducts UM, care coordination and discharge planning activities according to all applicable regulatory requirements. ? Discharge Planning: Ensures continuity of care through communication in rounds and written documentation, level of care recommendations, transfer coordination, discharge planning and obtaining authorizations/approvals as needed for outside services for the patient. ? Develops, evaluates, and coordinates a comprehensive discharge plan in conjunction with the patient/family, physician, nursing, social services, and other health care providers and agencies. ? Regulatory: Conducts UM, care coordination, and discharge planning activities according to all applicable regulatory requirements.