Registered Nurse Case Manager (RN) Medical Group - Full-time / Part-time

We have a full-time , direct-hire, opening for a Registered Nurse Case Manager (RN) in the San Fernando Valley , and are looking to recruit top-notch talent.
 

These are permanent, benefited roles :-) with openings in either Outpatient or Inpatient (your choice)!
 

Here’s why you’ll love working for the Medical Group:

• Growing fast than just about anyone out there: went from 500 employees to nearly 2,000 in 5 years!
• Opportunity to make an incredible impact: currently touching 400k+ lives, many of whom are underserved, and looking for compassion and care.
• Offering some of the best benefits out there: tuition reimbursement, 401k, free individual Medical coverage, tons of PTO, etc.
• Family-like culture, where everyone gets the support they need: we’ve helped 20+ employees get hired here in the past year, and have gotten incredible feedback about their educators and managers.

DESCRIPTION: Monday - Friday 8am-5pm (no weekends or overtime)!

• The Case Manager works primarily telephonically with patients (from the office), and is responsible for the assessment, treatment planning, intervention, monitoring, evaluation and documentation of identified High Risk patients.
• Assess and develop a care plan in collaboration with the admitting, attending and consulting physician and other health care practitioners.
• The goal of the Case Manager is to effectively manage patients on an outpatient basis to assure the appropriate level-of-care is provided, to prevent inpatient re-admissions and ensure that the patients’ medical, environmental and psycho-social needs are met over the continuum of care.

Essential Accountabilities

• Case Manager coordinates and facilitates patient care progression through the continuum of care
• Manages all aspects of discharge planning for assigned patients by meeting directly with patient/family to assess needs and develop an individualized care plan in collaboration with the physician
• Coordinates the discharge planning process in collaboration with Social Worker, Case Management Liaison, and/or other members of the interdisciplinary team; appropriately delegates within the scope of practice discharge planning activities/functions to Case Management Liaisons and other non-licensed personnel
• Collaborates with the interdisciplinary team participating in care coordination rounds to facilitate timely care and assure quality of care through the hospital stay
• Collaborates with medical, nursing, and ancillary staff to identify and eliminate barriers to efficient delivery of care
• Communicates target length of stay/estimated discharge readiness to physician, patient, family, and care team
• Educates patient/family regarding their Medicare rights, including Observation status notification, Hospital Issued Notice of Non-coverage (HINN), Advance Beneficiary Notice (ABN), and Detailed Notice of Discharge (DND); ensures delivery of written notification letters to the patient and/or family
• Ensures safe care to patients adhering to policies and procedures, within budgetary specifications, including time management, supply management, and productivity
• Ensures all elements critical to the plan of care have been communicated to the patient/family, and multidisciplinary team, and documented in the electronic health record
• Collaborates with the Command Center to ensure strong communication is maintained for utilization management, admission status, and medical necessity

Job Requirements

• Current CA RN
• 1 year of Case Management in Acute Care, Managed Care, HMO, Home Health, Hospice, or SNF required

Please note that final salary is per employer discretion and commensurate with experience