Travel Nurse (RN) - Case Management (Case Manager) - Los Angeles, CA - 829002

Epic Travel Staffing is hiring a Travel RN – Utilization Review

Shift: Days / 8a-5p (8×5) 40 hours per week

Length: 13 weeks
Requirements:

• CA License
  
• 2 years experience
  
• Experience with root cause analysis and quality improvement process
  
• Data management experience
• 2+ years of ambulatory care experience preferred
• BSN preferred
  
• Utilization review experience preferred

Other Details:

• COVID-19 Vaccine (Facility Guideline): Required – No Exemptions
  

Position if focused on Patient Safety.

Required:
1. Experience with root cause analysis and quality improvement process
2. Data management experience
3. Computer proficiency specially with Microsoft Office software
4. California RN license in good standing

Preferred:
1. 2+ years of ambulatory care experience
2. BSN
3. Utilization review experience

Job Duties:
1. Review occurrence reports and the related pertinent medical records to determine opportunities for quality improvement. Assist in evaluating incidents that require review and perform root cause analysis.
2. Aggregate and clinically analyze quality metric data in support of Medical Directors/Chairs of the specific departments.
3. Perform outpatient case review of hospitalizations related to re-admissions and sentinel diagnoses, and identify opportunities for care improvement.
4. Serve on Quality Improvement Committees. Support HEDIS, pay-for-performance, ACO and other clinical pay-for-performance and pay-for-value program.
5. Perform clinical site reviews and/or medical record reviews as directed in support of health plan and/or other regulatory/accreditation/compliance requirements
6. Perform chart abstraction and analysis of root causes, presentation of cases for review with physician panel, discussion of opportunities for care improvement, communication to relevant stakeholders, and follow-up on specific issues
7. Perform in-depth analysis of individual cases as well as trend analysis across the entire population of patients
8. Create clinical quality and value dashboards and action reports in support of performance improvement activities. Develop slide decks and other communication tools and make periodic presentations to share trend information with key stakeholders.
9. Participate in Performance Improvement activities to design and implement quality improvement initiatives, including those for Population Health and Patient Engagement.
10. Create clinical quality and value dashboards and action reports in support of performance improvement activities.
11. Assist in preparing for and responding to accreditation and regulatory agencies or surveys
Unit:
CSMN – 875250 – Quality Improvement – RN

Epic Travel Staffing:

• Day 1 health insurance coverage and comprehensive benefits options
• 401(k) matching program
• Weekly direct deposit
• Concierge state licensing program for RN and other healthcare modalities in multiple states, including CA
• Industry leading allowances and reimbursements
• Referral program with cash bonuses and additional perks
• Exclusive job openings – Only at Epic
• Epic Elite Program – Priority status at top facilities and exclusive loyalty bonuses