LanceSoft is seeking a travel nurse RN Case Management for a travel nursing job in Torrance, California.
Day 5x8-Hour (08:00 - 16:30)
2 years acute care case management/discharge planning.
Required, Epic
Skills marked with * are preferred
Work Settings
Acute Hospital
Behavioral Health*
Home Health*
Hospice*
Insurance Company*
Long Term Acute Care/Rehab/Skilled Nursing*
Case Management/Utilization Review
Admission Criteria
Appeals and Denials*
Benefits Eligibility*
Care coordination
Determine Medical Necessity per Evidence-Based Guidelines*
Discharge Planning
Disease management
Needs Assessment/ Order DME
Plan of Care*
Prior Authorizations*
Utilize InterQual Criteria*
Worker’s comp case management*
Utilization Review
Admission Criteria*
Medical Necessity
Utilize InterQual Criteria*
Acute Hospital Experience by Specialty
Behavioral Health*
Emergency Department*
ICU*
MS*
NICU*
Pediatrics*
PICU*
SDU/PCU/IMC/Obs*
Surgical Services*
Womens Services*
Regulatory
CMS: Centers for Medicare and Medicaid Services
DRG (Diagnosis Related Groups)
HIPAA guidelines (Health Insurance Portability and Accountability Act)
Worker’s Compensation*
Admission Criteria (InterQual) (ED, Mother Baby and NICU)
• Competent InterQual guidelines highly preferred.
• Experience with Assessing patients, Care Coordination, and Discharge Planning
• Knowledge of adoption/foster care, drug/alcohol abuse treatment options, patients experiencing homelessness, patients with mental health history or in crisis, advance directive, POLST, protective services process, etc.
• Ability to organize and participate in family meetings.
• Participate in the development of the treatment plan.
• Experience with HMOs, IPAs, Medicare, MediCAL, etc.
• Competent with arranging DME, SNF and ambulance transport. Must be able to perform this task independently.
Every other weekend. Must be available for holidays
LSI20668
Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we’re 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities.