RN Care Manager Emergency Room FT Nights

2 weeks ago


Los Angeles, California, United States Martin Luther King, Jr. Community Hospital Full time
Job Summary

Martin Luther King, Jr. Community Hospital is seeking a skilled RN Care Manager to join our Emergency Room team. As a key member of our care management team, you will be responsible for managing the continuum of care for assigned patients, ensuring high-quality care and efficient utilization of healthcare resources.

Key Responsibilities
  • Collaborate with the interdisciplinary team to facilitate timely care, ensure quality of care, and minimize adverse outcomes.
  • Initiate appropriate referrals to the internal interdisciplinary team and communicate with Admitting or PFS regarding patient needs.
  • Establish a working diagnosis (DRG) on every patient at admission to estimate target length of stay or identify date of discharge for planning and care coordination purposes.
  • Communicate target LOS/estimated discharge readiness to physician, patient, family, care team, and payor.
  • Document all team, physician, and patient/family communication and concerns pertaining to coordination of care and services.
  • Screen every patient to identify need for further assessment of medical necessity or discharge planning.
  • Adhere to Care Management Department policies and procedures and participate in the Quality and Performance Improvement Plan.
Requirements
  • Bachelor of Science degree in nursing preferred; Associates degree in nursing required.
  • Minimum of one to three years of hospital or related experience required; internals with at least 18 months acute care case management/coordination experience will be considered in lieu of nursing clinical experience.
  • Able to navigate and connect successfully with outside provider networks (Health Plans, IPA's, and FQHC's).
  • Bilingual language skills preferred (Spanish).
  • Current California Nursing license and Basic Life Support (BLS) certification required.
  • Certification in Case Management preferred.


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