The Registered Nurse (RN) Case Manager specializes in Utilization Review and collaborates with healthcare teams to develop and monitor patient care plans for various health outcomes. This travel position requires Montana RN licensure and at least two years of nursing experience, along with expertise in utilization review. The role involves conducting comprehensive assessments, planning discharges, and promoting continuity of care while ensuring adherence to healthcare regulations.
Generis Tek Inc. is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Bozeman, Montana.
Job Description:
Position Summary:
The Registered Nurse Non-Certified Case Manager works with physicians and multidisciplinary team members to develop a plan of care for assigned patients. Ensures patient is progressing towards desired outcomes by monitoring care through assessments and/or patient records. Identifies and resolves barriers that hinder effective patient care. Actively involved in discharge planning process.
Minimum Qualifications:
Required
Montana Licensure (Registered Nurse)
American Heart Association BLS
Minimum of 2 years of nursing experience
MUST HAVE UTILIZATION REVIEW EXPERIENCE
Preferred
Bachelor’s Degree in Nursing
2 years of acute care hospital experience as a case manager
Essential Job Functions:
In addition to the essential functions of the job listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements.
Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in the assessment.
Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
Maintains ongoing member case load for regular outreach and management.
Promotes integration of services for members including behavioral health care and long term services and supports/home and community to enhance the continuity of care for members.
Knowledge, Skills, and Abilities
Demonstrates sound judgement, patience, and maintains a professional demeanor at all times
Ability to work in a busy and stressful environment
Strong interpersonal, verbal and written communication skills
Exercises tact, discretion, sensitivity and maintains confidentiality
Computer applications, MS Office, EMR, internet applications and standard office equipment
Ability to analyze, organize and prioritize work while meeting multiple deadlines
Strong emotional intelligence, interpersonal and teamwork skills
Schedule Requirements
This role requires regular and sustained attendance.
The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts.
On-call work may be required to respond promptly to organizational, patient, or employee needs.
Physical Requirements
Lifting (Repeatedly – 50 pounds): Exerting force occasionally and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or people.
Sit (Occasionally): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain.
Stand (Repeatedly): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain.
Walk (Repeatedly): Walking and moving around within the work area requires good balance and coordination.
Climb (Rarely): Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms.
Twist/Bend/Stoop/Kneel (Repeatedly): Twisting, bending, and stooping require flexibility and a wide range of motion in the spine and joints.
Reach Above Shoulder Level (Repeatedly): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability.
Push/Pull (Repeatedly): Using the upper extremities to press or exert force against something with steady force to thrust forward, downward, or outward.
Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling.
Vision (Continuously): Close visual acuity to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials.
Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain focus, complete tasks independently, and make timely decisions in the context of a workflow.
Exposures (Continuously): Bloodborne pathogens, such as blood, bodily fluids, or tissues. Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances. Infectious diseases are caused by contact with patients in areas that may have contagious illnesses. Emotionally challenging situations, such as dealing with distressed patients or difficult family interactions.
Minimum Guaranteed Hours:
2
Generis Tek Job ID #30047959. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN- Case Manager w/ Utilization Review Experience!
About Generis Tek:
Generis Tek is a leading workforce solutions provider specializing in healthcare &
professional staffing. Headquartered in Chicagoland, we partner with top healthcare
organizations to connect skilled professionals with rewarding career opportunities.
Why Work with Generis Tek?
clinical, administrative, and technical positions.
comprehensive benefits, and career development support.
closely with candidates to match them with roles that align with their skills
and aspirations.
opportunities to fit your lifestyle.
quality placements, Generis Tek is committed to your long-term success.
Join Generis Tek today and take the next step in your healthcare career!
Travel Nurse, Utilization Review, Case Management, Registered Nurse, Patient Care, Healthcare Staffing, Montana RN Licensure, Nursing Experience, Discharge Planning, Interdisciplinary Team
Join the Technology Training team at RBC WM-U.S. Drive overall technology engagement and adoption for the private client group field audience and deliver customized technology-led consulting and coaching for key advisors and their teams. This positio Technology, Consultant...
...content across various platforms. Comfortable both behind the camera and in collaborative planning sessions, they are organized, adaptable... ...each shoot is present and functioning. Direct other camera operators to acquire the necessary footage. EDITING: Edit...
...Job Description Title: Research Assistant Location: Redmond, WA Duration: 12 months Compensation: $36 - $39/hr Work Requirements: US Citizen, GC Holders or Authorized to Work in the U.S. ABOUT THIS FEATURED OPPORTUNITY At XXX Research, our goal is...
Job OverviewJoin our team as a Remote Data Entry Clerk, where you will be responsible for performing essential data entry tasks with a minimum input speed of 25 words per minute. This role is ideal for individuals seeking part-time remote work opportunities while contributing...
...through Friday to include some weekends Hours: 8:00 a.m. to 5:00 p.m.; may vary Position: Our Blood Institute is looking for a Volunteer Services Coordinator who can promote, enhance, and sustain the mission of OBI through the placement of non-paid staff....