RN - Clinical Case Manager

3 weeks ago


Avalon, United States Lancesoft INC Full time
Job DescriptionJob Description

RN - Clinical Case Manager - Avalon, CA
Type: Full-Time

The Clinical Case Manager is responsible for planning, organizing, and coordinating swing bed admissions and reviewing emergency department admissions and discharges. Responsibilities include providing administrative and clerical services, input into process improvement, coordinating with the referral specialist and managing, obtaining, and sharing medical records. The Clinical Case Manager works under general supervision of the Director of Nursing.

Essential Functions

  • Performs 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.
  • Provides information in response to queries from doctors' offices, families and outside facilities.
  • Provides case management, social services, utilization review, and discharge planning daily and on weekends as scheduled.
  • Identifies and coordinates swing admissions and verifies admission requirements are met before transfer, including necessary screens and tests within the appropriate time frames.
  • Reviews ED admissions/discharges and contacts ED patients to coordinate follow up visits with PCP or assist with coordinating transfers to another facility if needed.
  • Develops and maintains relationships with specialty offices to aid in any transfer or collaboration of care.
  • Participates and collaborates with interdisciplinary team and attends UR meetings.
  • Reviews patient charts when a request for counseling is received.
  • Reviews and assesses need for intervention and/or appropriate community resources.
  • Must be available at least two Saturdays a month depending on admissions.

Knowledge, Skills, Abilities

  • Bilingual in Spanish preferred
  • Ability to multitask
  • Proficiency in using computers and various software systems including Microsoft Office, Athena, EMR and Point Click Care.
  • Ability to work effectively in a fast-paced environment.
  • 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.

Education/Experience

  • Three to five years of experience in clinical nursing.
  • One to two years' experience in case management or related field preferred.
  • Current Licensure to practice in the state of California.
  • Bachelor's degree in nursing highly preferred.
  • BLS required, ACLS preferred.

Benefits

  • Competitive salary 
  • We provide assistance with finding housing on Catalina Island.
  • Boat Travel Stipend
  • BCBS PPO health insurance
  • Dental
  • Vision
  • EAP
  • HSA
  • 403b retirement
  • employer-paid 15K life insurance
  • short and long-term disability
  • critical illness, cancer coverage
  • vacation and paid holidays for all Full-Time positions
Company DescriptionEstablished in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we’re 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for. LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social WoCompany DescriptionEstablished in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we’re 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for. LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Wo

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