RN Care Manager Emergency Room FT Days

1 week ago


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

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 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 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 and participate in the Quality and Performance Improvement Plan.
  • Consider patient population served, age-specific criteria, and the Watson Model of Care in all patient/family care and interaction.
  • Utilize Milliman Care Guideline's best practices to determine patient disposition and collaborate with on-site Hospitalists, Intensivists, Laborists, and Emergency Department physicians.
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); basic computer skills required.
  • Current California Nursing license and Current Basic Life Support (BLS) certification required.
  • Certification in Case Management preferred.


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