RN, Care Manager, Emergency Department
1 month ago
Centered in beautiful Southern California, Adventist Health Simi Valley has been one of the area's leading healthcare providers since 1965. We are comprised of a 144-bed hospital, home care services and a vast scope of award-winning services located throughout Ventura County. Simi Valley is a suburban area nestled between an urban oasis and the stunning shores of the Pacific Ocean. Bordering Los Angeles allows hiking in the morning and attending film premieres in the evening.
Job Summary:
Establishes, coordinates, and maintains the process to increase patient through-put to the most appropriate level of care while facilitating interdisciplinary care across the continuum for the Emergency Department (ED). Collaborates with the patient/family, multidisciplinary team, physicians, community resources and payers to ensure the patient’s progress and level of care is appropriately determined for the emergency episode of care and for the inpatient encounter to ensure that care is performed and facilitated in an efficient and cost-effective manner. Uses well developed knowledge and skills in patient status determination (InterQual Criteria), in the assessment and care management of patients and families within the ED, inpatient and outpatient settings. Practices patient/family assessment and management, resource management, identifying patients appropriate for inpatient admission, observation, or outpatient status, care facilitation, discharge planning with referral to all levels of care, and other related duties specific to the defined patient population. Collaborates with other case managers, social work staff, the access center, admissions, and other physician and administrative leadership staff within the ED, the care management department and both the inpatient and outpatient settings. Uses knowledge of pathophysiology, pharmacology, and clinical care processes to participate with other clinical staff and physicians in the development of clinical practice guidelines and physician order sets for the purpose of improving quality of care, changing practice, and reducing costs.
Job Requirements:
Education and Work Experience:
- Bachelor's Degree in Nursing (BSN): Preferred
- Master's Degree in nursing or health care related field: Preferred
- Experience in case management, utilization management, and/or transitional care: Preferred
Licenses/Certifications:
- Registered Nurse (RN) licensure in the state of practice: Required
- Accredited Case Manager, Certified Case Manager, or Board Certification in Case Management: Preferred
Essential Functions:
- Acts as a resource to ED staff and physicians regarding appropriateness of admission, levels of care (including related documentation requirements and observation vs. inpatient requirements), quality of care concerns and criteria/guidelines/protocols utilized in care planning and resource utilization.
- Gathers sufficient information from and communicates with all relevant sources to facilitate appropriate discharge from ED to appropriate level of care to assure it is done in an accurate, safe, timely and cost-effective manner to prevent readmission and/or frequent visits to ED.
- Assists in triaging calls from other acute care facilities requesting patient transfers to EMC; determines transfer appropriateness by reviewing requested documentation and InterQual level of care criteria and discussions as necessary with admitting physician, supervisors and/or EMC administrators and/or other EMC personnel.
- Assesses ED patients and identifies options other than acute hospital admission when appropriate. Screens and refers to acute rehabilitation, long-term acute care hospitals, and nursing homes for admission directly from the ED; screens and refers patients to clinics after initial exam; and screens and refers patients for whom treatments could be safely rendered at home with services (e.g., IV antibiotics, low molecular weight heparin injections, wound care, etc.).
- Organizes, integrates, and evaluates the effectiveness of the plan of care and progress toward achievement of desired outcomes. Modifies plan of care as patient/family needs change to accomplish goals established in the plan of care. Communicates plan of care, including changes and issues related to plan of care to patient/family, physicians, and other members of the healthcare team.
- Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.
ABOUT US
Adventist Health is a faith-based, nonprofit, integrated health system serving more than 90 communities on the West Coast and Hawaii with over 400 sites of care, including 26 acute care facilities, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of 37,000 includes employees, physicians and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
-
Emergency Department Care Manager
3 weeks ago
Simi Valley, California, United States Adventist Health Full timeJob Summary:As a Care Manager in our Emergency Department, you will play a vital role in ensuring the efficient and cost-effective delivery of care to our patients. You will work closely with the multidisciplinary team, physicians, and community resources to determine the most appropriate level of care for each patient. Your expertise in patient status...
-
Care Manager
3 weeks ago
Simi Valley, California, United States Adventist Health Full timeJob Summary:As a Care Manager in our Emergency Department, you will play a critical role in ensuring the efficient and cost-effective delivery of care to our patients. You will work closely with the multidisciplinary team, physicians, and community resources to determine the most appropriate level of care for each patient. Your expertise in patient status...
-
RN, Care Manager
4 weeks ago
Simi Valley, California, United States Adventist Health Full timeJob Title: RN, Care ManagerAdventist Health is seeking a skilled RN, Care Manager to join our team in the Emergency Department. As a key member of our care management team, you will play a vital role in ensuring the highest quality patient care and outcomes.Job Summary:The RN, Care Manager will be responsible for establishing, coordinating, and maintaining...
-
RN, Care Manager, Emergency Department
2 months ago
Simi Valley, United States Adventist Health Full timeCentered in beautiful Southern California, Adventist Health Simi Valley has been one of the area's leading healthcare providers since 1965. We are comprised of a 144-bed hospital, home care services and a vast scope of award-winning services located throughout Ventura County. Simi Valley is a suburban area nestled between an urban oasis and the stunning...
-
RN, Care Manager, Emergency Department
1 month ago
Simi Valley, United States Adventist Health Full timeCentered in beautiful Southern California, Adventist Health Simi Valley has been one of the area's leading healthcare providers since 1965. We are comprised of a 144-bed hospital, home care services and a vast scope of award-winning services located throughout Ventura County. Simi Valley is a suburban area nestled between an urban oasis and the stunning...
-
RN, Care Manager, Emergency Department
4 weeks ago
simi valley, United States Adventist Health Full timeCentered in beautiful Southern California, Adventist Health Simi Valley has been one of the area's leading healthcare providers since 1965. We are comprised of a 144-bed hospital, home care services and a vast scope of award-winning services located throughout Ventura County. Simi Valley is a suburban area nestled between an urban oasis and the stunning...
-
Care Manager RN
4 weeks ago
Simi Valley, California, United States Adventist Health Full timeJob SummaryWe are seeking a skilled Care Manager RN to join our team at Adventist Health Simi Valley. As a key member of our Emergency Department, you will play a critical role in ensuring the efficient and effective care of our patients.Key ResponsibilitiesCollaborate with patients, families, and healthcare teams to develop and implement individualized care...
-
Travel Nurse RN ED
4 weeks ago
Simi Valley, California, United States RTG Medical-Nursing Full timeJob Title: Emergency Department Travel NurseRTG Medical-Nursing is seeking a skilled travel nurse to join their team in a dynamic Emergency Department setting.Job Requirements:Specialty: Emergency DepartmentDiscipline: Registered Nurse (RN)Shift: 8 hours, daysEmployment Type: TravelThe ideal candidate will have a strong background in emergency nursing and...
-
Travel Nurse RN ED
4 weeks ago
Simi Valley, California, United States Lead Health Full timeJob Title: Emergency Room Travel Nurse RNLead Health is seeking a skilled Emergency Room Travel Nurse RN to join our team. As a travel nurse, you will have the opportunity to work in a dynamic and fast-paced environment, providing high-quality patient care and making a positive impact on the lives of our patients.Job Summary:Specialty: Emergency...
-
RN, Care Manager
4 weeks ago
Simi Valley, California, United States Adventist Health Full timeJob SummaryWe are seeking a skilled RN, Care Manager to join our team at Adventist Health. This role will be responsible for coordinating patient care across the continuum, ensuring seamless transitions between departments and levels of care.Key ResponsibilitiesEstablish and maintain processes to optimize patient throughput and facilitate interdisciplinary...
-
Manager Care Management RN
4 weeks ago
Happy Valley, United States Providence RN Careers Full timeDescription Manager, Care Management RN at Providence Portland Medical Center, in Portland, OR. Full-Time/Day Shift The Care Management (CM) Manager is accountable for the direction and management of the inpatient Care Management Department. This position provides leadership and oversight for the clinical care management model, staff of approximately 24-31...
-
Travel Nurse RN Position in Emergency Department
3 weeks ago
Castro Valley, California, United States Supplemental Health Care Full timeSupplemental Health Care is seeking a travel nurse RN for a position in the Emergency Department. We are looking for a skilled and experienced RN to join our team and provide high-quality patient care in a fast-paced environment.Job Details:Specialty: Emergency DepartmentDiscipline: RNDuration: 13 weeksShift: 12 hours, daysEmployment Type:...
-
Nurse Care Manager
4 weeks ago
Simi Valley, California, United States Adventist Health Full timeJob Summary:Adventist Health is seeking a skilled Registered Nurse to join our Emergency Department team. As a Nurse Care Manager, you will play a critical role in ensuring the efficient and effective delivery of patient care. Your expertise will be instrumental in assessing patient needs, developing and implementing care plans, and collaborating with...
-
RN - Emergency Department
4 weeks ago
Fountain Valley, United States MemorialCare Health System Full timeDescription Title: Registered Nurse (RN) Location: Fountain Valley Department: Emergency Services Status: Full Time Shift: Evening Shift (12 hours) Pay Range*: $49.51 to $77.62 Bonus: $10,000 sign-on At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment...
-
RN - Emergency Department
2 weeks ago
Fountain Valley, United States MemorialCare Health System Full timeDescription Title: Registered Nurse (RN) Location: Fountain Valley Department: Emergency Services Status: Full Time Shift: Night Shift (12 hours) Pay Range*: $49.51 to $77.62 Bonus: $10,000 sign-on At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for...
-
RN - Emergency Department
1 week ago
Fountain Valley, United States MemorialCare Health System Full timeDescription Title: Registered Nurse (RN) Location: Fountain Valley Department: Emergency Services Status: Full Time Shift: Mid (Evening) Shift (12 hours) Pay Range*: $49.51 to $77.62 Bonus: $10,000 sign-on At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working...
-
Emergency Department Nurse
4 weeks ago
Spring Valley, Nevada, United States Catholic Health Initiatives Full timeJob Title: Emergency Department RNAt Catholic Health Initiatives, we are seeking a skilled and compassionate Emergency Department RN to join our team.About the Role:As an Emergency Department RN, you will be responsible for providing high-quality patient care in a fast-paced and dynamic environment. You will work closely with a multidisciplinary team to...
-
Nurse Manager
4 weeks ago
Apple Valley, California, United States Providence Health & Services Full timeJob SummaryProvidence Health & Services is seeking a skilled RN Nursing Supervisor to lead our Emergency Department team. As a key member of our leadership team, you will be responsible for planning, directing, and managing the nursing care delivered to our patients. If you are a compassionate and experienced nurse leader, we encourage you to apply for this...
-
Department Manager
3 weeks ago
Simi Valley, California, United States The Kroger Company Full timeDepartment Leader Job DescriptionAs a Department Leader at The Kroger Company, you will be responsible for assisting with monitoring and controlling supply expenses for the department. You will also assist with managing cash control, sales, and cash items and records for the store. Additionally, you will manage the scheduling of Front end associates to...
-
Emergency Department Nurse
4 weeks ago
Spring Valley, Nevada, United States Catholic Health Initiatives Full timeJob SummaryWe are seeking a compassionate and skilled Emergency Department Nurse to join our team at Catholic Health Initiatives. As a critical care RN, you will be responsible for providing high-quality patient care in a fast-paced and dynamic environment.ResponsibilitiesProvide direct patient care to critically ill or unstable patients in the emergency...
