Patient Care Manager RN
6 days ago
We are seeking a skilled and compassionate Registered Nurse (RN) to fill the role of Clinical Care Coordinator at the Community Hospital of Huntington Park. As a key member of our healthcare team, you will be responsible for coordinating patient care, ensuring efficient patient progression, and promoting optimal clinical and financial outcomes.
Key Responsibilities- Utilization Review and Discharge Planning: Conduct thorough reviews of patient cases to ensure appropriateness of admission, level of care, and length of stay, utilizing InterQual criteria.
- Care Coordination and Resource Management: Collaborate with the multidisciplinary team to develop, coordinate, implement, and evaluate patient care plans, ensuring timely and effective discharge planning.
- Communication and Liaison: Serve as a liaison between the hospital and payers to ensure financial coverage for patients, while also educating and collaborating with patients, families, and healthcare teams regarding utilization issues, documentation of medical necessity, and discharge options.
- Documentation and Reporting: Accurately document case management activities in patient records and required information systems, identifying and documenting Avoidable Days to address opportunities for improvement.
- Leadership and Collaboration: Demonstrate strong leadership and collaboration skills, working effectively with the multidisciplinary team to ensure coordination of patient care and wise utilization of resources.
- Education and Experience: Bachelor's degree in nursing preferred, Master's prepared a plus; minimum of 2-3 years in Case Management Acute Care setting.
- Licensure and Certifications: Current RN licensed in good standing by the California Board of Nursing; Current BLS for Health Care Provider card; Accredited Case Manager (ACM) or Certified Case Manager.
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RN Care Manager Inpatient Full Time
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2 weeks ago
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