RN Case Manager

1 week ago

Ontario, United States Actalent Full time

Job Title: RN Case Manager

For an immediate response, please email me your resume to: olellis @actalentservices.com , along with 3-4 bullet points as to why you would be a great fit for the role

Job Description

We are seeking a dedicated and experienced Case Manager to join our team. The successful candidate will be responsible for planning, developing, assessing, and evaluating the care provided to patients. You will collaborate with physicians, other healthcare team members, and patients/families to ensure continuity, quality, and appropriate resource use. This role involves discharge planning, care coordination, and compliance with regulatory requirements.

Responsibilities

  • Plan, develop, assess, and evaluate care provided to members.

  • Collaborate with physicians, multidisciplinary healthcare team, and patients/families to develop and implement individualized care plans.

  • Recommend alternative levels of care and ensure compliance with federal, state, and local requirements.

  • Assess high-risk patients in need of post-hospital care planning.

  • Develop and coordinate discharge plans to meet patients' identified needs.

  • Communicate discharge plans to physicians, patients, families/caregivers, staff, and appropriate community agencies.

  • Review, monitor, evaluate, and coordinate patients' hospital stays to ensure timely and efficient delivery of essential services.

  • Participate in Bed Huddles and implement recommendations congruent with patients' needs.

  • Coordinate the interdisciplinary approach to providing continuity of care, including utilization management, transfer coordination, discharge planning, and obtaining necessary authorizations/approvals.

  • Conduct daily clinical reviews for utilization/quality management activities based on guidelines/standards for various settings.

  • Act as a liaison between inpatient facilities and referral facilities/agencies and provide case management to referred patients.

  • Refer patients to community resources to meet post-hospital needs.

  • Coordinate the transfer of patients to appropriate facilities and maintain required documentation.

  • Adhere to internal and external regulatory and accreditation requirements and compliance guidelines.

  • Educate healthcare team members on their roles and responsibilities in the discharge planning process and appropriate use of resources.

  • Provide patients with education to assist with their discharge and help them cope with psychological problems related to acute and chronic illness.

  • Report any incidences of unusual occurrences related to quality, risk, and/or patient safety as per established protocols.

  • Review, analyze, and identify utilization patterns and trends, problems, or inappropriate use of resources, and participate in data collection and analysis for special studies or routine monitoring.

  • Coordinate, participate, and facilitate care planning rounds and patient family conferences as needed.

  • Participate in committees, teams, or other work projects/duties as assigned.

Essential Skills

  • Case management experience in an acute care facility for at least 6 months.

  • Minimum of 2 years of acute care clinical experience.

  • Discharge planning experience.

  • Current license as a registered nurse.

  • Basic Life Support (BLS) certification from the American Heart Association.

Additional Skills & Qualifications

  • Ability to communicate effectively with patients, families, and healthcare team members.

  • Strong organizational skills and attention to detail.

  • Ability to work independently and as part of a team.

  • Problem-solving skills and ability to think critically in high-pressure situations.

Work Environment/Shift

The work schedule is Monday to Friday from 8:30 AM to 5:00 PM, with rotating weekends based on staffing needs. Our team culture is highly collaborative, with open communication and a supportive environment where team members help each other out. We value initiative and teamwork. Benefits include 1 week of PTO, paid holidays (New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, and Christmas Day), and opportunities for professional growth within a cutting-edge healthcare organization.

Pay and Benefits

The pay range for this position is $65.00 - $75.00

• Medical, dental & vision• Critical Illness, Accident, and Hospital• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available• Life Insurance (Voluntary Life & AD&D for the employee and dependents)• Short and long-term disability• Health Spending Account (HSA)• Transportation benefits• Employee Assistance Program• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully onsite position in Ontario,CA.

Application Deadline

This position will be accepting applications until Dec 17, 2024.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

  • Hiring diverse talent

  • Maintaining an inclusive environment through persistent self-reflection

  • Building a culture of care, engagement, and recognition with clear outcomes

  • Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.

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