RN Case Manager

2 months ago

Fresno, United States Community Health System - CA Full time
Overview: We got our start 125 years ago as a boarding house and medical facility for people traveling in Central California. If people then could see us now... Today, Community Health System is the region's largest healthcare provider and includes three divisions: Community Medical Centers hospitals, Community Care Health and Community Provider Network. These three pillars of healthcare - hospitals, health insurance and physicians - work best when they work together.

Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.

We know that our ability to provide the highest level of care begins with taking care of our incredible teams. Want to learn more? Click here.

Your Career at Community | Opportunity. Challenge. Growth. Responsibilities: The RN Case Manager is responsible for actively managing and advocating for patients. The Case Manager will be responsible for having comprehensive knowledge of the patient's medical status and performing utilization reviews to ensure care is rendered in accordance with intensity of service and severity of illness standards at all times. The Case Manager will consider physical, psychosocial, and financial assessment information in planning for, coordinating, and implementing a patient specific plan of care. Case management will include: educating patients about medication; encouraging adherence; promoting risk reduction and healthy lifestyle choices; and following up with patients to ensure medication is taken, appointments are made, and labs are completed. The Case Manager will work with providers and other multidisciplinary team members, utilizing a proactive approach, to ensure that medical care is provided based on current standards of care.

Qualifications: Education
• High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required
• Bachelor's Degree in Nursing preferred

Experience
• 2 years of experience as a Registered Nurse with experience in discharge planning, case management, or utilization management required or
• 5 years of LVN experience in discharge planning, case management, or utilization management required

Licenses and Certifications
• RN - Current and valid Registered Nurse license to work within the state of California required
• BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required
• ACM - Accreditation in Case Management preferred
• CCM - Certified Case Management preferred Disclaimers:
• Pay ranges listed are an estimate and subject to change.
• If any bonuses are noted, they are only applicable to external hires meeting criteria.

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