Clinical Case Manager RN
1 month ago
Job Specialty: Hospital Case Management
Job Duration: Ongoing
Shift: Monday-Friday, 8 hours
Guaranteed Hours: Not specified
Experience: Minimum of five years of experience in clinical nursing and one to two years' experience in case management or related field preferred.
License: Current licensure to practice in the state of California
Certifications: BLS required, ACLS preferred
Must-Have: Bachelor's degree in nursing highly preferred
Job Description:
Key Responsibilities:
- Plan, organize, and coordinate swing bed admissions and review emergency department admissions and discharges.
- Provide administrative and clerical services and contribute to process improvement.
- Coordinate with the referral specialist and manage, obtain, and share medical records.
- Perform financial assessment to ascertain patients' source of payment for in-patient stay to begin review process and obtain timely payment for services rendered by hospital.
- Provide information in response to queries from doctors' offices, families, and outside facilities.
- Provide case management, social services, utilization review, and discharge planning daily and on weekends as scheduled.
- Identify and coordinate swing admissions and verify admission requirements are met before transfer, including necessary screens and tests within the appropriate time frames.
- Review ED admissions/discharges and contact ED patients to coordinate follow-up visits with PCP or assist with coordinating transfers to another facility if needed.
- Develop and maintain relationships with specialty offices to aid in any transfer or collaboration of care.
- Participate and collaborate with interdisciplinary team and attend UR meetings.
- Review patient charts when a request for counseling is received.
- Review and assess need for intervention and/or appropriate community resources.
- Be available at least two Saturdays a month depending on admissions.
Essential Skills & Abilities:
- Bilingual in Spanish preferred.
- Ability to multitask and work effectively in a fast-paced environment.
- Proficiency in using computers and various software systems, including Microsoft Office, Athena, EMR, and Point Click Care.
- Identify, analyze, and resolve patient care problems to foster significant improvement in patient care.
- Educate patients and families about the disease process and treatment.
- Ability to connect, inform, and advise all ancillary departments of any changes to the patient care plan.
- Knowledge of community resources and support services.
Benefits:
- Competitive salary
- Assistance with finding housing
- Boat travel stipend
- Health, dental, and vision insurance
- Employee Assistance Program
- Retirement plan
- Employer-paid life insurance
- Short and long-term disability
- Critical illness and cancer coverage
- Vacation and paid holidays for all full-time positions
Additional Information:
- Housing is a studio apartment offered with a non-refundable cleaning fee.
- No personal automobiles are allowed on the Island.
- Position urgency: normal
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