Registered Nurse Case Manager

You, as the Registered Nurse Case Manager will be held responsible for ensuring the continuity of care in both the inpatient and outpatient setting utilizing the appropriate resources within the parameters of established contracts and patients’ health plan benefits. Facilitates continuum of patients’ care utilizing advanced nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management functions telephonically as the need arises. Reports finding to the Care Management department Supervisor / Manager / Director in a timely manner.

• Implements and monitors current medical group care management programs within the policies and procedures set by the Care Management department.
• Conducts on-site prospective, concurrent and retrospective review of active patient care, including out-of-area and transplant.
• Reviews patients’ clinical records of acute inpatient within 24 hours of notification.
• Reviews patient referrals within the specified care management policy timeframe (Type and Timeline Policy).
• Coordinates treatment plans and discharge expectations and discusses DPA and DNR status with attending physician.
• Prioritizes patient care needs and meets with patients, patients’ family and caregivers as needed to discuss care and treatment plan.
• Identifies and assists with the follow-up of high-risk patients in acute care settings, skilled nursing facilities, custodial and ambulatory settings.
• Consults with physician and other team members to ensure that care plan is successfully implemented.
• Coordinates provisions for discharge from facilities including follow-up appointments, home health, social services, transportation, etc., in order to maintain continuity of care.

Additional Details regarding the Job:

These RN’s will have a key focus on discharging patients.

• Bachelor’s of Science in Nursing [BSN]
• Active California RN license
• 3+ years of clinical experience in any healthcare setting [prefers acute nursing in critical care]
• Previous care management, utilization review or discharge planning experience

Pay Rate: $40/hr. - $43/hr.

Hours for this Position:

• Shift: Monday-Friday 8-5

Advantages of this Opportunity:

• Competitive salary
• Fun and positive work environment
  
• Medical benefits offered