Case Management Utilization RN/Registered Nurse 24/hr Night 12/hr Shift
3 weeks ago
Sign On Bonus for Eligible External HiresJob Summary:
Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays.
Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization.
Interacts with the family, patient and other disciplines to coordinate a safe and acceptable discharge plan.Functions as an indirect caregiver, patient advocate and manages patients in the most cost effective way without compromising quality.
Transfers stable non-members to planned Health care facilities.
Responsible for complying with AB 1203, Post Stabilization notification.
Complies with other duties as described.
Must be able to work collaboratively with the Multidisciplinary team, multitask and in a fast pace environment
Essential Responsibilities:
Plans, develops, assesses and evaluates care provided to members.
Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of appropriate, individualized plans of care to ensure continuity, quality and appropriate resource use.
Recommends alternative levels of care and ensures compliance with federal, state and local requirements.Assesses high risk patients in need of post-hospital care planning.
Develops and coordinates the implementation of a discharge plan to meet patients identified municates the plan to physicians, patient, family/caregivers, staff and appropriate community agencies.
Reviews, monitors, evaluates and coordinates the patients hospital stay to assure that all appropriate and essential services are delivered timely and efficiently.
Participates in the Bed Huddles and carries out recommendations congruent with the patients needs.Coordinates the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and obtaining all authorizations/approvals as needed for outside services for patients/families.
Conducts daily clinical reviews for utilization/quality management activities based on guidelines/standards for patients in a variety of settings, including outpatient, emergency room, inpatient and non-KFH facilities.
Acts as a liaison between in-patient facility and referral facilities/agencies and provides case management to patients referred.Refers patients to community resources to meet post hospital needs.
Coordinates transfer of patients to appropriate facilities; maintains and provides required documentation.
Adheres to internal and external regulatory and accreditation requirements and compliance guidelines including but not limited to:
TJC, DHS, HCFA, CMS, DMHC, NCQA and DOL.Educates members of the healthcare team concerning their roles and responsibilities in the discharge planning process and appropriate use of resources.
Provides patients with education to assist with their discharge and help them cope with psychological problems related to acute and chronic illness.
Per established protocols, reports any incidence of unusual occurrences related to quality, risk and/or patient safety which are identified during case review or other activities.
Reviews, analyses and identifies utilization patterns and trends, problems or inappropriate utilization of resources and participates in the collection and analysis of data for special studies, projects, planning, or for routine utilization monitoring activities.
Coordinates, participates and or facilitates care planning rounds and patient family conferences as needed.Participates in committees, teams or other work projects/duties as assigned.
Basic Qualifications:
ExperienceTwo (2) years combined RN experience in an acute care setting or case management required.
EducationCompletion of an accredited RN training program that allows graduates to take RN license exam.
License, Certification, RegistrationRegistered Nurse License (California)Basic Life SupportAdditional Requirements:
Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of Utilization review/management, discharge planning or case management.
Working knowledge of regulatory requirements and accreditation standards (TJC, Medicare, Medi-Cal, etc.).Demonstrated ability to utilize written and verbal communication, interpersonal, critical thinking and problem-solving skills.
Demonstrated ability in planning, organizing, conflict resolution and negotiating puter literacy skills required.Preferred Qualifications:
Bachelors degree in nursing or healthcare related field
Notes:
3days/8-hour shifts.
11pm - 7:
30am Primary Location:
California,Panorama City,Panorama City Medical Center Scheduled Weekly Hours:
24 Shift:
Night Workdays:
Mon, Tue, Wed, Thu, Fri, Sat, Sun Working Hours Start:
08:
00 PM Working Hours End:
30 AM Job Schedule:
Part-time Job Type:
Standard Employee Status:
Regular Employee Group/Union Affiliation:
B21AFSCMESCNSC Job Level:
Individual Contributor Department:
Panorama City MOB #- Utilization Management Pay Range:
$ $71.51 / hour The ranges posted above reflect the location in the job posting.
The salary range may vary if you reside in a different location or state than the location posted.
Travel:
No At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do.
We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work.
Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce.Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.
Submit Interest Load More-
Travel Nurse RN
5 days ago
Crescent City, California, United States Aureus Medical Group - Nursing Full timeAureus Medical Group - Nursing is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Crescent City, California.Job Description & RequirementsSpecialty: ED - Emergency DepartmentDiscipline: RNStart Date: ASAPDuration: 15 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: TravelEstimated payment breakdown~$...
-
Supervisor Rn, Emergency Services Night
4 days ago
Panorama City, California, United States Kaiser Permanente Full timeJob Summary:Provides (8-24 hours, 7 days/week) first-line operational supervision of the delivery, implementation and evaluation/improvement of direct patient care emergency medicine and nursing services and personnel in assigned functional unit/area(s) within a 24/7 Emergency Services Department. Ensures that healthcare team/staff provide high quality,...
-
RN Case Manager
3 weeks ago
Culver City, California, United States Prospect Medical Holdings, Inc. Full timeThe RN Case Manager is responsible for performing a high level clinical assessment and reassessment of acute care Inpatients for the purpose of performing utilization review, resource management and safe discharge planning. The RN Case Manager prioritizes, plans, organizes, and implements timeliness of care. Collaborates with the interdisciplinary healthcare...
-
RN Case Manager
3 weeks ago
Culver City, California, United States Prospect Medical Holdings, Inc. Full timeThe RN Case Manager is responsible for performing a high level clinical assessment and reassessment of acute care Inpatients for the purpose of performing utilization review, resource management and safe discharge planning. The RN Case Manager prioritizes, plans, organizes, and implements timeliness of care. Collaborates with the interdisciplinary healthcare...
-
Culver City, California, United States 24-HRMED Full time24-Hour Medical Staffing is looking to hire Registered Nurses who work in the Step Down Unit to join our list of nurses.Pay : NegotiableShift : 7:00 AM till 7:30 PMType of Assignment : Travel ContractDuration : 8 weeks (Possibility for extension based on performance)Work Location : Culver City, California Requirements: Current State Registered Nurse (RN)...
-
Culver City, California, United States 24-HRMED Full time24-Hour Medical Staffing is looking to hire Registered Nurses who work in the Step Down Unit to join our list of nurses.Pay : NegotiableShift : 7:00 AM till 7:30 PMType of Assignment : Travel ContractDuration : 8 weeks (Possibility for extension based on performance)Work Location : Culver City, California Requirements: Current State Registered Nurse (RN)...
-
Travel Nurse Rn Night Shift
5 days ago
National City, California, United States MedPro Healthcare Staffing Full timeMedPro Healthcare Staffing is seeking a travel nurse RN Psychiatric for a travel nursing job in National City, California. Shift: 12 hours, nights ~ Employment Type: Travel MedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality Psychiatric registered nurse (RN) for a travel assignment with one of our top healthcare...
-
Crescent City, California, United States Aureus Medical Group - Nursing Full timeAureus Medical Group - Nursing is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Crescent City, California.Specialty: ED - Emergency Department ~ Start Date:ASAP~ Shift: 12 hours, nights ~ Employment Type: Travel Estimate assumes an 12 hour shift. Hourly rate may change based on shift length. ~$Actual amount subject to...
-
Local Contract Nurse RN
5 days ago
National City, California, United States United Health Care Staffing Full timeJob DescriptionUnited Health Care Staffing is seeking a local contract nurse RN ED - Emergency Department for a local contract nursing job in National City, California.Job Description & RequirementsSpecialty: ED - Emergency DepartmentDiscipline: RNStart Date: ASAPDuration: 52 weeks12 hours per weekShift: 12 hours, daysEmployment Type: Local ContractMin....
-
Travel Nurse RN
4 days ago
National City, California, United States Tact Staff Full timeTact Staff is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in National City, California. Job Description & RequirementsSpecialty: ICU - Intensive Care UnitDiscipline: RNStart Date: ASAPDuration: 13 weeks36 hours per weekShift: 12 hoursEmployment Type: TravelThe Registered Nurse is responsible for the delivery of safe patient...
-
Case Manager
5 days ago
Culver City, California, United States Prospect Medical Holdings Full timeThe Case Manager, UR is responsible for overseeing the daily operations of the assigned caseload. Ensures Medical Necessity for patient admission and concurrent stay at the short-term acute hospital level of care are met, utilizing the facility approved non-MD reviewer guidelines. Communicates as appropriate to the payer. Refers all cases not meeting MN for...
-
HR Benefits Services Specialist 2
2 weeks ago
Redwood City, California, United States Stanford University Full timeHR Benefits Services Specialist 2Human Resources Services, Redwood City, California, United StatesJob Summary SCHEDULEFull-timeJOB CODE4648EMPLOYEE STATUSRegularGRADEGREQUISITION ID103437WORK ARRANGEMENTHybrid EligibleStanford University is one of the world's premier academic and research institutions, devoting tremendous intellectual and physical resources...
-
Nurse Case Manager
5 days ago
Daly City, California, United States Paradigm Full timeParadigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation...
-
Locum CRNA
4 days ago
Panorama City, California, United States Ascend Medical Staffing Full timeCRNA need in Panorama City CA Rate: 258 Hourly All Inclusive 302 OT Rate over 8 hrs a day (Malpractice is covered)Shift: Monday Friday 7:00a-3:00p; 9:00a-5:00p; or 3:00p-11:00pTime Frame: ASAP 6 months (Credentialing 90 days)Types of Anes Model: Will strictly be performing their own cases Cases include general surgery, orthopedics, gyn, ENT, urology,...
-
Registered Nurse
4 days ago
National City, California, United States Friendship Manor Nursing & Rehabilitation Center Full timeRegistered Nurse - Skilled Nursing FacilityNOC Shift AvailableWage: $ $50.00/hr DOE$$$ Sign On Bonus Active for NOC shift RN new hires. $$$New Grads WelcomeFriendship Manor Nursing & Rehabilitation Center, a Generations Healthcare facility, has opportunities for CA, Registered Nurses. Our, 104 bed, skilled nursing facility specializes in short term rehab &...
-
Registered Nurse RN
4 weeks ago
Culver City, California, United States ESP Personnel Full timeIf you're a Registered Nurse in search of the maximum total compensation and the best support possible, join ESP Personnel. We specialize in optimizing your earnings and providing a custom experience to fit your lifestyle.Immediate hires needed for Registered Nurses to work at our clients' facilities in Torrance and throughout the Los Angeles area....
-
Registered Nurse RN
3 weeks ago
Culver City, California, United States ESP Personnel Full timeIf you're a Registered Nurse in search of the maximum total compensation and the best support possible, join ESP Personnel. We specialize in optimizing your earnings and providing a custom experience to fit your lifestyle.Immediate hires needed for Registered Nurses to work at our clients' facilities in Torrance and throughout the Los Angeles area....
-
Local Contract Nurse RN
5 days ago
National City, California, United States United Health Care Staffing Full timeUnited Health Care Staffing is seeking a local contract nurse RN ED - Emergency Department for a local contract nursing job in National City, California.Job Description & RequirementsSpecialty: ED - Emergency DepartmentDiscipline: RNStart Date: ASAPDuration: 52 weeks12 hours per weekShift: 12 hours, daysEmployment Type: Local ContractMin. 1-year of...
-
Travel Nurse RN
3 weeks ago
Redwood City, California, United States Cross Country Healthcare Full timeCross Country Nurses is seeking a travel nurse RN Case Management for a travel nursing job in Redwood City, California. & RequirementsSpecialty: Case ManagementDiscipline: RNStart Date: 06/10/2024Duration: 22 weeks40 hours per weekShift: 8 hours, daysEmployment Type: Travel As a case management nurse (RN CM), you will collaborate with the healthcare team to...
-
Travel Nurse RN
4 weeks ago
Redwood City, California, United States Cross Country Healthcare Full timeCross Country Nurses is seeking a travel nurse RN Case Management for a travel nursing job in Redwood City, California. & RequirementsSpecialty: Case ManagementDiscipline: RNStart Date: 06/10/2024Duration: 22 weeks40 hours per weekShift: 8 hours, daysEmployment Type: Travel As a case management nurse (RN CM), you will collaborate with the healthcare team to...
