Current jobs related to Nurse, Care Management - San Leandro - Alameda Health System
-
Travel Nurse RN Case Management
4 weeks ago
San Leandro, California, United States TotalMed Case Management Staffing Full timeTravel Nursing Opportunity with TotalMed Case Management StaffingTotalMed Case Management Staffing is seeking a skilled travel nurse to join our team as a Case Management RN. This exciting opportunity allows you to work in a fast-paced environment while providing top-notch care to patients.Job Details:Shift: 8 hours, daysEmployment Type: TravelLocation: San...
-
Travel Nurse RN Case Manager
3 weeks ago
San Leandro, California, United States TotalMed Case Management Staffing Full timeTravel Nurse RN Case Manager Job OpportunityTotalMed Case Management Staffing is seeking a skilled travel nurse RN case manager to join our team.Job DetailsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeksShift: 8 hours, daysEmployment Type: TravelWe are looking for a dedicated and experienced case manager-registered nurse to work with our team in...
-
Travel Nurse RN Case Manager
4 weeks ago
San Leandro, California, United States TotalMed Case Management Staffing Full timeJob Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a skilled travel nurse RN case manager to join our team.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are seeking a dedicated case manager-registered nurse for an assignment in California.TotalMed Case Management Staffing Job...
-
Nurse Specialist
3 days ago
San Leandro, California, United States Travel Nurse Source Full timeWe are working with Triage Staffing to find a skilled Nurse Specialist to provide quality care in a dynamic maternity setting in San Leandro, California.Pay Information: $2,889 per weekAbout The Position: This travel nursing opportunity offers a chance to work in Labor and Delivery, providing comprehensive care to patients and their families. As a Nurse...
-
RN Case Manager
4 weeks ago
San Leandro, California, United States Travel Nurse Across America Full timeTravel Nurse Case Manager Job DescriptionWe are seeking a skilled RN Case Manager to join our team of travel nurses at Travel Nurse Across America. As a RN Case Manager, you will play a critical role in advocating for patients, evaluating their needs, and developing comprehensive care plans to ensure the best possible outcomes.Key Responsibilities:Evaluate...
-
RN Case Manager
1 month ago
San Leandro, California, United States Travel Nurse Across America Full timeTravel Nurse Case Manager Job DescriptionWe are seeking a skilled RN Case Manager to join our team at Travel Nurse Across America. As a RN Case Manager, you will play a critical role in advocating for patients, evaluating their needs, and developing comprehensive care plans.Key Responsibilities:Evaluate and assess new patients to identify their needs and...
-
RN Case Manager
4 weeks ago
San Leandro, California, United States Travel Nurse Across America Full timeTravel Nurse Case Manager Job DescriptionWe are seeking a skilled RN Case Manager to join our team at Travel Nurse Across America. As a RN Case Manager, you will play a critical role in advocating for patients, evaluating their needs, and developing comprehensive care plans to ensure optimal outcomes.Key Responsibilities:Evaluate and assess new patients to...
-
Certified Nursing Assistant
1 week ago
San Leandro, California, United States QUALITY ELDERLY CARE Full timeJob Title: Certified Nursing AssistantAbout the Role:Quality Elderly Care is seeking a dedicated and compassionate Certified Nursing Assistant to join our team at the San Leandro Nursing Facility. As a CNA, you will play a vital role in providing high-quality care to our elderly residents.Responsibilities:Provide direct care to residents, including...
-
Nurse Practitioner, Care Management Lead
1 week ago
San Leandro, California, United States Scout Exchange LLC Full timeJob Summary:As a Clinical Nurse Manager at Scout Exchange LLC, you will oversee the operations of 24-hour departments, ensuring high-quality patient care services and compliance with local, state, and federal requirements. You will develop and maintain clinical standards of care and practice, responsible for all resource budgeting, selection, and...
-
Endocrinology Nurse Practitioner
1 month ago
San Leandro, California, United States Epic Care Full timeEndocrinology Nurse Practitioner OpportunityEpic Care, a dynamic and physician-led group, is seeking a skilled Nurse Practitioner to join our team of endocrinologists. As a valued member of our organization, you will have the opportunity to provide high-quality, personalized care to patients with diabetes and endocrine disorders.Responsibilities:Provide...
-
Endocrinology Nurse Practitioner
4 weeks ago
San Leandro, California, United States Epic Care Full timeEndocrinology Nurse Practitioner Job DescriptionOverview:Epic Care is a dynamic, multi-specialty organization with over 40 physicians located throughout the East Bay Area. Our mission is to deliver high-quality, personalized, value-driven care for our patients and their families.We are seeking a skilled Nurse Practitioner to join our team of...
-
Endocrinology Nurse Practitioner
3 weeks ago
San Leandro, California, United States Epic Care Full timeOverviewEpic Care is a dynamic, multi-specialty organization with over 40 physicians located throughout the East Bay Area. Our mission is to deliver high-quality, personalized, value-driven care for our patients and their families.ResponsibilitiesProvide follow-up care to patients with diabetes and endocrine disorders, focusing on medication management for...
-
Endocrinology Nurse Practitioner Position
5 days ago
San Leandro, California, United States Epic Care Full timeOverview:Epic Care is a physician-led group with a dynamic, multi-specialty organization. We deliver high-quality, personalized, value-driven care for our patients and their families.We recognize the importance of increased access to care and achieve this goal with multiple locations and service options under one roof.We are seeking a Nurse...
-
Endocrinology Nurse Practitioner Role
6 days ago
San Leandro, California, United States Epic Care Full timeOverview:Epic Care is a physician-led group that has grown into a dynamic, multi-specialty organization with over 40 physicians located throughout the East Bay Area. Our mission is to deliver high-quality, personalized, value-driven care for our patients and their families. We recognize that increased access to care is essential to a high-quality patient...
-
Endocrinology Nurse Practitioner Role
2 weeks ago
San Leandro, California, United States Epic Care Full timeOverview:ANNUAL SALARY (BASED ON SKILLS/EXPERIENCE):$132, $145,974.40Epic Care is a physician-led group that has grown into a dynamic, multi-specialty organization with over 40 physicians located throughout the East Bay Area. Our mission is to deliver high-quality, personalized, value-driven care for our patients and their families. We recognize that...
-
San Leandro, United States Clinical Management Consultants Full timeA prestigious 100+ patient bed hospital in Northern California is searching for a highly motivated and experienced Clinical Coordinator to join their dynamic healthcare team. This is an exceptional opportunity to make a significant impact on patient care and contribute to the growth and development of clinical services within the hospital. In this role, the...
-
San Leandro, United States Clinical Management Consultants Full timeA prestigious 100+ patient bed hospital in Northern California is searching for a highly motivated and experienced Clinical Coordinator to join their dynamic healthcare team. This is an exceptional opportunity to make a significant impact on patient care and contribute to the growth and development of clinical services within the hospital.In this role, the...
-
Licensed Vocational Nurse
4 weeks ago
San Leandro, California, United States All Saints Subacute & Transitional Care Full timeJob Title: Licensed Vocational Nurse (LVN)We are seeking a dedicated and compassionate Licensed Vocational Nurse (LVN) to join our team at All Saints Subacute & Transitional Care. As an LVN, you will play a vital role in providing high-quality patient care and contributing to the success of our healthcare team.Job Summary:The LVN will be responsible for...
-
Nurse Manager
2 weeks ago
San Leandro, California, United States Incredible Health Full timeJob Title: Registered NurseHospitals on Incredible Health are actively hiring and accepting applications for the position of Registered Nurse in the San Leandro, CA area.Job Summary:We are seeking a skilled and experienced Registered Nurse to join our team as a House Supervisor. The ideal candidate will have a strong background in nursing leadership and a...
-
Clinical Coordinator for Medication Management
2 weeks ago
San Leandro, California, United States Clinical Management Consultants Full timeJob SummaryClinical Management Consultants is seeking a highly motivated and experienced Clinical Coordinator to join their dynamic healthcare team. This is an exceptional opportunity to make a significant impact on patient care and contribute to the growth and development of clinical services within the hospital.Key ResponsibilitiesOversee and manage the...
Nurse, Care Management
2 months ago
Summary
SUMMARY: Responsible for coordinating continuum of care and discharge planning activities for a caseload of assigned patients; develops plans of care and discharge plans, monitors all clinical activities, makes recommendations for alternative levels of care, and identifies cost-effective protocols. Care Management provides Care Coordination, Compliance, Transition Coordination, and Utilization Management.
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. Coordinates all utilization review functions, including response to payor requests for concurrent and retrospective review information including Medicare and MediCal regulations/requirements, avoidable days and quality issues. Applies Medical necessity criteria to determine level of care.
2. Assures clinical interventions are appropriate for the admitting diagnosis and Level of Care that reflects the standard of care, as defined by the medical staff and the organization; identify inappropriate admit status based on identified criteria and ensures the patient is registered at the appropriate level of care. Utilizes McKesson Interqual® clinical guidelines; refers questionable cases to the CM Manager or physician advisor for determination.
3. Takes appropriate action when cases do not meet criteria. Escalates to the attending physician, and the Care Management physician advisor of any concurrent denials.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.Reassesses the patient’s condition when changes occur and revises the care plan when appropriate.
4. Develops, evaluates, and coordinates a comprehensive discharge plan in conjunction with the patient/family, physician, nursing, social work, and other healthcare providers and agencies. Completes an initial assessment within 24 hours of admission and documents findings in the electronic health record. Processes referrals and authorizations that adhere to federal, state and local insurance regulatory agencies and offer patient choice per regulation.
5. Identifies potential problems prevents and or resolves barriers to the discharge plan. Along with the social work team member
6. Mobilize resources to effect rapid and timely movement of the patient through system to achieve targeted discharge times established by AHS.
7. Identifies and mobilizes patients and family strengths to optimize use of healthcare and community resources. In coordination with patient and family wishes, guide/assist in securing needed post discharge services
8. Collaborates with Care Management teams (i.e. Care Transition team and CM teams at other facilities) for high risk patients for timely follow-up appointments and confirms prior to discharge that complex patients are appropriately linked to community services.
9. Provides community resource education and coaching, focusing on individual patient self-management principles. Ensures continuity of care through communication in rounds and written documentation, level of care recommendations, transfer coordination, discharge planning and obtaining authorizations/approvals as needed for outside services for the patient.
10. Communicates with physicians and multidisciplinary health team members to provide continuity of care, supporting and maintaining the multidisciplinary team approach to ensure effective resource utilization and appropriate level of care.
11. Makes independent assessments and recommendations regarding course of action in complex situations.
12. Confirm all applicable department and regulatory targets for department performance process improvements are attained (e.g., re admissions, throughput, LOS).
MINIMUM QUALIFICATIONS:
Required Education: Associate Degree in Nursing
Preferred Education: Bachelor’s of Nursing
Preferred Education: Master’s in Nursing
Required Experience: Three years of acute care nursing
Preferred Experience : Medical/surgical or critical care experience; broad clinical background. Within the last 3 years, experience in Case Management in an acute setting or utilization review at a medical group or health plan.
Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California, Active BLS - Basic Life Support Certification issued by the American Heart Association; other advanced life support certifications may be required per unit/department specialty according to patient care policies; CPI -Crisis Prevention Intervention Training (required for all positions at John George Psychiatric Pavilion; and certain positions in the Emergency Department).
Preferred Licenses/Certifications: Certification in Case Management, CCMC or ACM. Bilingual Preferred.
San Leandro Hospital
SLH Acute Rehab
Services As Needed / Per Diem
Day
Care Management
FTE: 0.01
