SLH Case Manager RN, Per Diem, Days, 8hours
2 months ago
Summary
Job Summary: The SLH Case Manager RN is responsible for providing comprehensive case management services to clients identified with complex health conditions and social challenges that are at risk for health status decline. The goals and focus of these service efforts are to provide timely delivery of intensive case management servicesduring the transitional period beginning with hospitalization and culminating with integration back into the community setting to prevent further health deterioration and reduce the need for more costly services such as acute care hospitalization and to develop self-management skills that improve his or her long-term health status. Performs related duties as required.
DUTIES & ESSENTIAL JOB FUNCTIONS : NOTE: The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.
1. Conducts discharge planning assessments in a timely and complete manner. Assessments and interventions; considers the age and cultural or religious influences of the patient/family.
2. Coordinates disposition of Medi-Cal, self-pay, and out-of-plan patients, including working with physician to determine readiness for transfer, securing placement and completing TAR and other documentation; contacts with payers conducting phone reviews and initiates denial appeals as needed. 3. Encourages patients to develop realistic plans. Makes direct contact with or refers patient/family to appropriate community resources. Maintains knowledge of currently available resources in the community. 4. Guides the patient in understanding the nature of his illness; confers with patients and their families to prepare for the patients’ discharge.5. Provides community resource education and coaching, focusing on individual client self-management principles. This includes preparing for provider visits and supporting the disease management principles introduced by the nursing team.
6. Reassesses the client’s condition when changes occur and revises the care plan as appropriate. Coordinates and arranges for needed services with appropriate local resources. Serves as client advocate to secure services and financial benefits. 7. Reviews all the patients in his/her caseload in the following areas; admission criteria for medical necessity and appropriateness of care; continued stay criteria for medical necessity and appropriateness of care; resource Management issues; other issues including concerns involving under/over utilization, avoidable days and quality issues. Coordinate daily with interdisciplinary team in transitioning patient throughout hospital stay; provides discharge planning services, working with patient/family and receiving multi disciplinary input, so that an appropriate plan is developed enabling a patient to go home, or facilitates the relocation of the patients to another setting. 8. Serves as a mentor and educator to the organization’s health care team assisting with care coordination, training, and quality improvement activities; provides staff education regarding Advance Directives and POLST when requested. 9. Understands insurance, governmental, and accrediting agency standards to determine criteria concerning admissions, treatment, and length of stay of patients. Takes appropriate action when cases do not meet criteria - coordinates denials with the attending physician, and the UR physician advisor. Prepares case reports; documents treatment plan, progress notes and discharge summary related information as required by Medicare, MediCal, Title 22 and other mandated regulations according to Department standards. Keeps required statistics.
Qualifications:
Education : Associates’s degree in a related field. Bachelor’s Degree preferred.
Minimum Experience : Two years related in acute care facility and/or utilization review training.
Minimum Experience : Varied clinical experience or experience in case management/community health preferred.
Preferred Licenses/Certification : Public Health Nurse, Case Management, or Home Health.
Required Licenses/Certifications : BLS - Basic Life Support Certification - issued by AHA-American Heart Association.
Required Licenses/Certifications : Valid license to practice as a Registered Nurse in the State of California.
Additional Information
Note: Must have Hospital Case Management or Utilization Review experience.
Qualifications:
Education : Associates’s degree in a related field. Bachelor’s Degree preferred.
Minimum Experience : Two years related in acute care facility and/or utilization review training.
Minimum Experience : Varied clinical experience or experience in case management/community health preferred.
Preferred Licenses/Certification : Public Health Nurse, Case Management, or Home Health.
Required Licenses/Certifications : BLS - Basic Life Support Certification - issued by AHA-American Heart Association.
Required Licenses/Certifications : Valid license to practice as a Registered Nurse in the State of California.
SLH Social Services
Services As Needed / Per Diem
Day
Care Management
FTE: 0.01
-
SLH Case Manager RN, Per Diem, Days, 8hours
4 months ago
SAN LEANDRO, United States Alameda Health System Full timeSummary Job Summary: The SLH Case Manager RN is responsible for providing comprehensive case management services to clients identified with complex health conditions and social challenges that are at risk for health status decline. The goals and focus of these service efforts are to provide timely delivery of intensive case management servicesduring the...
-
SLH Case Manager RN, Per Diem, Days, 8hours
2 weeks ago
San Leandro, United States Alameda Health System Full timeSummary Job Summary: The SLH Case Manager RN is responsible for providing comprehensive case management services to clients identified with complex health conditions and social challenges that are at risk for health status decline. The goals and focus of these service efforts are to provide timely delivery of intensive case management servicesduring the...
-
SLH Case Manager RN, Per Diem, Days, 8hours
2 weeks ago
San Leandro, California, United States Alameda Health System Full timeJob SummaryThe SLH Case Manager RN is responsible for providing comprehensive case management services to clients identified with complex health conditions and social challenges that are at risk for health status decline. The goals and focus of these service efforts are to provide timely delivery of intensive case management services during the transitional...
-
SAN LEANDRO, United States Alameda Health System Full timeSummary Job Summary: The SLH Case Manager RN is responsible for providing comprehensive case management services to clients identified with complex health conditions and social challenges that are at risk for health status decline. The goals and focus of these service efforts are to provide timely delivery of intensive case management servicesduring the...
-
SLH House Supervisor
4 months ago
San Leandro, CA, United States Alameda Health System Full timeSummary SUMMARY: The SLH House Supervisor is responsible for providing clinical oversight and direction to the nursing staff during non-business hours. The SLH House Supervisor is skilled in problem solving and crisis intervention and serves as the first level contact for Administrative issues during non-business hours. The SLH House Supervisor has...
-
SLH House Supervisor
5 months ago
San Leandro, United States Alameda Health System Full timeSummary SUMMARY: The SLH House Supervisor is responsible for providing clinical oversight and direction to the nursing staff during non-business hours. The SLH House Supervisor is skilled in problem solving and crisis intervention and serves as the first level contact for Administrative issues during non-business hours. The SLH House Supervisor has strong...
-
SLH House Supervisor
3 months ago
SAN LEANDRO, United States Alameda Health System Full timeSummary SUMMARY: The SLH House Supervisor is responsible for providing clinical oversight and direction to the nursing staff during non-business hours. The SLH House Supervisor is skilled in problem solving and crisis intervention and serves as the first level contact for Administrative issues during non-business hours. The SLH House Supervisor has strong...
-
SLH House Supervisor
20 hours ago
San Leandro, United States Alameda Health System Full timeSummary Do you have the following skills, experience and drive to succeed in this role Find out below. SUMMARY: The SLH House Supervisor is responsible for providing clinical oversight and direction to the nursing staff during non-business hours. The SLH House Supervisor is skilled in problem solving and crisis intervention and serves as the first level...
-
SLH House Supervisor
6 hours ago
San Leandro, United States Alameda Health System Full timeSummary Do you have the following skills, experience and drive to succeed in this role Find out below. SUMMARY: The SLH House Supervisor is responsible for providing clinical oversight and direction to the nursing staff during non-business hours. The SLH House Supervisor is skilled in problem solving and crisis intervention and serves as the first level...
-
SLH House Supervisor
1 week ago
San Leandro, United States Alameda Health System Full timeSummary SUMMARY: The SLH House Supervisor is responsible for providing clinical oversight and direction to the nursing staff during non-business hours. The SLH House Supervisor is skilled in problem solving and crisis intervention and serves as the first level contact for Administrative issues during non-business hours. The SLH House Supervisor has strong...
-
SLH Care Management Social Worker
2 months ago
San Leandro, CA, United States Alameda Health System Full timeSummary SUMMARY : Restores patients to optimum health and social adjustment, while facilitating a positive impact on the hospital transition of care; informs the health care team of the patient’s social, emotional, environmental, and financial needs and resources that may influence their treatment options and discharge plan; assists case manager nurses...
-
SLH Care Management Social Worker
2 months ago
San Leandro, CA, United States Alameda Health System Full timeSummary SUMMARY : Restores patients to optimum health and social adjustment, while facilitating a positive impact on the hospital transition of care; informs the health care team of the patient’s social, emotional, environmental, and financial needs and resources that may influence their treatment options and discharge plan; assists case manager...
-
SLH House Supervisor
5 months ago
San Leandro, CA, United States Alameda Health System Full timeSummary SUMMARY: The SLH House Supervisor is responsible for providing clinical oversight and direction to the nursing staff during non-business hours. The SLH House Supervisor is skilled in problem solving and crisis intervention and serves as the first level contact for Administrative issues during non-business hours. The SLH House Supervisor has strong...
-
SLH House Supervisor
1 week ago
San Leandro, CA, United States Alameda Health System Full timeSummary SUMMARY: The SLH House Supervisor is responsible for providing clinical oversight and direction to the nursing staff during non-business hours. The SLH House Supervisor is skilled in problem solving and crisis intervention and serves as the first level contact for Administrative issues during non-business hours. The SLH House Supervisor has strong...
-
SLH Assistant Nurse Manager
1 week ago
San Leandro, California, United States Alameda Health System Full timeJob SummaryThe SLH Assistant Nurse Manager plays a crucial role in the delivery of high-quality patient care at Alameda Health System's San Leandro Hospital. Reporting to the Nurse Manager, this position is responsible for directing the professional and support nursing personnel on the SLH Med Surg Second Floor.Key ResponsibilitiesAddress and evaluate...
-
Case Manager RN
4 weeks ago
San Leandro, California, United States Alameda Health System Full timeJob SummaryThe SLH Case Manager RN is a critical role within our healthcare team, responsible for providing comprehensive case management services to clients with complex health conditions and social challenges. The primary goal is to deliver timely and effective case management services during the transitional period, preventing further health deterioration...
-
SLH Care Management Social Worker
4 months ago
SAN LEANDRO, United States Alameda Health System Full timeSummary SUMMARY: Restores patients to optimum health and social adjustment, while facilitating a positive impact on the hospital transition of care; informs the health care team of the patient’s social, emotional, environmental, and financial needs and resources that may influence their treatment options and discharge plan; assists case manager nurses...
-
SLH Assistant Nurse Manager
4 weeks ago
San Leandro, United States Alameda Health System Full timeSummary SUMMARY: Under general supervision of the Nurse Manager, the SLH Assistant Nurse Manager directs the professional and support nursing personnel. Provides individualized, goal-directed nursing care through use of nursing process and the principles of primary nursing in accordance with departmental and hospital policies and procedures. Performs...
-
SLH Assistant Nurse Manager
1 month ago
San Leandro, United States Alameda Health System Full timeSummary SUMMARY: Under general supervision of the Nurse Manager, the SLH Assistant Nurse Manager directs the professional and support nursing personnel. Provides individualized, goal-directed nursing care through use of nursing process and the principles of primary nursing in accordance with departmental and hospital policies and procedures. Performs...
-
SLH House Supervisor
5 months ago
San Leandro, California, California, 94577, Alameda County, CA, United States Alameda Health System Full timeSummary SUMMARY: The SLH House Supervisor is responsible for providing clinical oversight and direction to the nursing staff during non-business hours. The SLH House Supervisor is skilled in problem solving and crisis intervention and serves as the first level contact for Administrative issues during non-business hours. The SLH House Supervisor has strong...
