Registered Nurse at Referral Management Center
Nellis AFB, NV, 89191
Registered Nurse at Referral Management Center
Full Time • Nellis AFB, NV, 89191
Replies within 24 hours
Benefits:
- 401(k)
- Competitive salary
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Job Overview:
AIMS Locum Tenens is seeking an experienced Registered Nurse – Referral Management Center/Transition Nurse to coordinate patient transitions and discharge planning between Mike O’Callaghan Military Medical Center (MOMMC), Nellis AFB, NV & North Las Vegas Veterans Affairs Medical Center (NLVVAMC), North Las Vegas, NV. The RN works closely with physicians, nurses, case managers, social workers, insurance organizations, patients, and families to ensure safe, timely, and cost-effective transitions of care.
Key Duties:
- Coordinate discharge requirements, including DME, Home Health Care, community services, specialty referrals, medications, and follow-up appointments.
- Ensure patients and caregivers receive appropriate discharge instructions and post-discharge resources.
- Coordinate inpatient transfers and continuity of care between facilities.
- Work with TRICARE MCSC and third-party payers to obtain authorization for post-discharge needs.
- Verify insurance benefits and assist providers with appropriate referrals and services.
- Educate patients/families about skilled nursing facilities, group homes, community resources, and other appropriate care options.
- Educate providers and staff regarding discharge planning and interfacility transfers.
- Apply knowledge of safe discharge, medical necessity, utilization review, InterQual/Milliman, EMTALA and COBRA requirements.
- Analyze treatment plans for appropriateness and support cost-effective patient care.
- Participate in committees, process-improvement activities, staff education, and orientation.
- If not fully utilized at NLVVAMC, provide nursing support in the MOMMC Emergency Department or backup support for House Supervisors/Discharge Planners.
Qualifications
Degree/Education: Bachelor of Science in Nursing (BSN) from a nursing program accredited by a nationally recognized accrediting agency.
Experience: Minimum 5 years total nursing experience, with the most recent 3 years in direct patient care in a hospital as a Discharge Planner, Case Manager, Nurse Navigator, House Supervisor, or equivalent.
Licensure: Current, full, active, and unrestricted RN license in an authorized U.S. jurisdiction.
Knowledge: Strong understanding of discharge planning, utilization management, medical necessity, TRICARE, Medicare, Medicaid, VA/private insurance, third-party collections, InterQual/Milliman criteria, EMTALA/COBRA, and healthcare reimbursement processes.
Schedule:
This is a hybrid role between NLVVAMC and MOMMC. The workweek runs Sunday through Saturday with coverage scheduled according to mission requirements 24 hours a day. Shifts may be 4, 8, 10, or 12 hours, not exceeding 80 hours per two-week period. No on-call.
Work Environment:
This is a fast-paced hospital-based care transition and referral management position working between a military medical center and VA medical center. The RN spends significant time coordinating discharges, referrals, transfers, insurance authorizations, and follow-up care while communicating with patients, families, physicians, nurses, case managers, social workers, and insurance organizations.
Health & Other Requirements:
Must meet all DHA/MTF occupational health, immunization, credentialing, and security/access requirements and maintain required RN licensure and certifications. Must comply with infection control, patient safety, privacy, and facility policies at both MOMMC and NLVVAMC.
Compensation: $60.00 - $62.00 per hour
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
About Us
AIMS Locum Tenens, LLC, d/b/a AIMS Force is a WOSB certified healthcare management company based in Northern Virginia and Washington DC area focus on healthcare management in both public and private sectors.
AIMS Locum Tenens is one of the fastest growing healthcare management solution specialized in management of highly skilled healthcare professionals in both commercial and government healthcare facilities all over the country. We have the experience, resources, and scale required to help physicians, nurses and other healthcare professionals to take advantage of both short and long term staffing opportunities in a wide variety of practice specialties. We do staff healthcare providers for both short and long-term assignments to local, state and federal government healthcare facilities.
AIMS realizes the key to quality is attention to details. AIMS is the one stop shop for various healthcare facilities and handles every steps to get best candidate from sourcing, recruitment, candidate screening, credentialing, final placement and retention of highly qualified healthcare provider.
As one of the nation’s fastest growing healthcare management companies, AIMS Locum Tenens manages highly qualified physicians and nurses during staffing crisis at community hospitals, clinics and Army based MTFs (Military Treatment Facilities). Hospital systems, MTFs, nursing homes and out patient clinics benefit from our comprehensive, cost-effective supplemental medical staffing services.
Our No. 1 priority is to provide the best service to our healthcare professionals and our hospital and MTFs clients. We welcome feedback and suggestions so we can continually improve our service.
At AIMS Locum Tenens, our core pillars—dedication, commitment, trustworthiness, and superior service—drive every aspect of our business.
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