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RN Care Manager Emergency Room FT Days
2 months ago
We are seeking a highly skilled RN Care Manager to join our team at Martin Luther King, Jr. Community Hospital. As a Care Manager, you will play a critical role in managing the continuum of care for patients from admission through discharge. This position requires strong clinical knowledge, excellent communication skills, and the ability to work collaboratively with the interdisciplinary team.
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.
- Communicate with Admitting or PFS regarding patient needs, payer, and provider support.
- Establish a working diagnosis (DRG) on every patient at admission to estimate target length of stay or identify discharge date 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.
- Participate in the Quality and Performance Improvement Plan for the Care Management Department.
- Bachelor of Science degree in nursing preferred.
- Associates degree in nursing required.
- Minimum of one to three years of hospital or related experience required.
- Able to navigate and connect successfully with outside provider networks (Health Plans, IPA's, and FQHC's).
- Bilingual language skills preferred (Spanish).
- Basic computer skills.
- Current California Nursing license.
- Current Basic Life Support (BLS).
- Certification in Case Management preferred.
