Registered Nurse at Referral Management Center

AIMS LOCUM TENENS LLC d/b/a AIMS Force•Nellis AFB, NV

3d•$60 - $62•Hybrid

About The Position

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.

Requirements

Bachelor of Science in Nursing (BSN) from a nursing program accredited by a nationally recognized accrediting agency.
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.
Current, full, active, and unrestricted RN license in an authorized U.S. jurisdiction.
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.
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.

Responsibilities

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.