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Hospital Registered Nurse Case Manager

HealthcareSupport Staffing

Moreno Valley, CAFull-timePosted 10y agoStill listed 4 days ago

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At a glance

Compensation
No compensation found
Location
Moreno Valley, CA
Schedule
Full-time
Work Authorization
Not specified

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Requirements

Credentials this posting asks for.

CA RN LicenseBLS

Job overview

HealthcareSupport Staffing is hiring a Hospital Registered Nurse Case Manager. The Hospital Registered Nurse Case Manager coordinates and monitors patients throughout their hospitalization, ensuring quality care and fiscal responsibility. This role involves assisting with admissions, advising physicians on documentation and post-discharge options, and reviewing post-hospital care plans with patients and families. The manager also utilizes community services for discharge planning and coordinates with various hospital disciplines.

Key focus areas include Coordinate and monitor patients through the hospitalization process, Assist the admitting department in identifying and resolving problems regarding appropriate admissions, and Act as a resource/advisor to physicians for adequate medical record documentation.

Successful candidates bring 2+ Years Acute Care Experience, California RN License, and BLS Certification. Important skills include Interqual, Discharge Planning, Patient Disease Processes, Community Resources, Acute Care Hospital Organization, and Clinical Diagnostic Services Interrelationship.

Skills & qualifications

RequiredNice to have

Skills

InterqualDischarge PlanningPatient Disease ProcessesCommunity ResourcesAcute Care Hospital OrganizationClinical Diagnostic Services InterrelationshipMedicare/Medical ExperiencePrivate Insurance ExperienceEvaluate Medical Records

Qualifications

CA RN LicenseBLS2 Years of Recent Experience in an Acute Care FacilityHospital Case Manager Experience

Full job description

  • Interviewing and hiring immediately!

  • Coordinates and monitors patients through the hospitalization process utilizing physicians, primary care nurses, and third party payors to maintain quality care and fiscal responsibility.

  • • Assists the admitting department in identifying and resolving problems regarding appropriate admissions.

  • • Acts as a resource/advisor to physicians for adequate medical record documentation, appropriateness of facility services as they relate to diagnoses, and options for post-discharge care.

  • • Reviews the post hospital care plan with the patient/family. Establishes a contract regarding time frames and responsibilities. Follows plan through to discharge.

  • • Utilizes community services to provide optimal discharge planning, monitors/expedites timely completion of services to avoid delays in care or discharge, facilitate third party reimbursement approval and/or authorization, conducts post discharge activities and documentation, responsible for completion and interpretation of patient statistical reporting.

  • • Coordinates with multi-disciplines to include Dietary, Physical Therapy, Occupational Therapy, Speech, Social Services, Infection Control, etc., to insure efficient use of hospital resources.

  • • Answers questions from patients and their families, including providers regarding reimbursement of covered and non-covered services.

  • Hours for this Position:

  • Monday – Friday Day time shift – Every other weekend required

  • CA RN License

  • BLS

  • 2 years of recent experience in an acute care facility

  • Ability to evaluate the medical records of hospital admissions

  • Must have Interqual

  • Payor - Medicare/Medical exp, private insurance experience

  • Discharge planning

  • Hospital Case Manager experience

  • knowledge of patient disease processes and usual methods for treating them

  • knowledge of community resources; acute care hospital organization and the interrelationship of various clinical diagnostic services

INTERESTED IN BEING CONSIDERED? Take the next step! Click on the green I'M INTERESTED button to submit your resume for review. Or send your resume to Kurt Hughes directly at kurt@healthcaresupport. com

All your information will be kept confidential according to EEO guidelines.

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