329 Healthcare jobs in Claremont
RN Care Manager Emergency Room - Per Diem Nights
Posted 1 day ago
Job Viewed
Job Description
POSITION SUMMARY
Reporting to the Director of Care Management, the Care Manager is responsible for managing the continuum of care from admission through discharge for assigned patients. The role reflects appropriate knowledge of RN scope of practice, current state requirements, CMS Conditions of Participation, EMTALA, The Patient Bill of Rights, AB1203 and other Federal or State regulatory agency requirements specific to Utilization Review and Discharge Planning. The Care Manager partners with the medical staff, utilizes scientific evidence for best practices, and relevant data to manage the care of the patient over the continuum of care from pre hospitalization through discharge. These activities include admission, continued, extended and discharge reviews in all reimbursement categories to determine medical necessity, assure high quality of care and efficient utilization of available healthcare resources, facilities and services. This position requires the full understanding and active participation in fulfilling the Mission of Martin Luther King, Jr. Community Hospital. It is expected that the employee will demonstrate behavior consistent with the Core Values. The employee shall support Martin Luther King, Jr. Community Hospital's strategic plan and the goals and direction of the quality and performance improvement process activities.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Is a role model for the Hospital's Patient Satisfaction effort when interacting with customers, subordinates and colleagues.
- Collaborates with the interdisciplinary team participants in team rounds to: facilitate timely care; sssure quality of care throughout the
- hospital stay; and minimize adverse outcomes.
- Initiates appropriate referrals to the internal interdisciplinary team.
- Communicates with Admitting or PFS regarding the needs of the patient, payer and provider are supported within the limitations of the existing individual benefit structure.
- Communicates relevant elements of the health plan benefits.
- Establishes a working diagnosis (DRG) on every patient at the time of admission to estimate the target length of stay or identify the date of discharge for planning and care coordination purposes.
- Communicates target LOS/estimated discharge readiness to physician, patient, family, care team and payor.
- Documents all team, physician and patient/family communication and concerns pertaining to coordination of care and services.
- Screens every patient to identify need for further assessment of medical necessity or discharge planning (standard description of which patients are seen). 11. Adheres to the Care Management Department policies and procedures.
- Participates in the Quality and Performance Improvement Plan for the Care Management Department.
- Considers the patient population served, age-specific criteria and the Watson Model of Care in all patient/family care and interaction.
- Utilizes Milliman Care Guideline's best practices to determine patient disposition. Collaborates with on site Hospitalists, Intensivists, Laborists and Emergency Department physicians in this process.
POSITION REQUIREMENTS
A. Education
- Bachelor of Science degree in nursing preferred
- Associates degree in nursing required
B. Qualifications/Experience
- Minimum of one (1) to three (3) years of hospital or related experience required. Internals with at least 18 months acute care case management/coordination experience will be considered in lieu of nursing clinical experience.
- Able to navigate and connect successfully with outside provider networks (Health Plans, IPA's, and FQHC's).
C. Special Skills/Knowledge
- Bilingual language skills preferred (Spanish) Basic computer skills
- Current California Nursing license
- Current Basic Life Support (BLS)
- Certification in Case Management preferred.
- ED Care Managers: Must complete annual Workplace Violence Prevention Program/Certificate, per hospital policy, during initial training/orientation but not to exceed 90 days from hire/transfer.
#LI-YD1
MLKCH Video
RN Care Manager Emergency Room - Per Diem Nights
Posted 1 day ago
Job Viewed
Job Description
POSITION SUMMARY
Reporting to the Director of Care Management, the Care Manager is responsible for managing the continuum of care from admission through discharge for assigned patients. The role reflects appropriate knowledge of RN scope of practice, current state requirements, CMS Conditions of Participation, EMTALA, The Patient Bill of Rights, AB1203 and other Federal or State regulatory agency requirements specific to Utilization Review and Discharge Planning. The Care Manager partners with the medical staff, utilizes scientific evidence for best practices, and relevant data to manage the care of the patient over the continuum of care from pre hospitalization through discharge. These activities include admission, continued, extended and discharge reviews in all reimbursement categories to determine medical necessity, assure high quality of care and efficient utilization of available healthcare resources, facilities and services. This position requires the full understanding and active participation in fulfilling the Mission of Martin Luther King, Jr. Community Hospital. It is expected that the employee will demonstrate behavior consistent with the Core Values. The employee shall support Martin Luther King, Jr. Community Hospital's strategic plan and the goals and direction of the quality and performance improvement process activities.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Is a role model for the Hospital's Patient Satisfaction effort when interacting with customers, subordinates and colleagues.
- Collaborates with the interdisciplinary team participants in team rounds to: facilitate timely care; sssure quality of care throughout the
- hospital stay; and minimize adverse outcomes.
- Initiates appropriate referrals to the internal interdisciplinary team.
- Communicates with Admitting or PFS regarding the needs of the patient, payer and provider are supported within the limitations of the existing individual benefit structure.
- Communicates relevant elements of the health plan benefits.
- Establishes a working diagnosis (DRG) on every patient at the time of admission to estimate the target length of stay or identify the date of discharge for planning and care coordination purposes.
- Communicates target LOS/estimated discharge readiness to physician, patient, family, care team and payor.
- Documents all team, physician and patient/family communication and concerns pertaining to coordination of care and services.
- Screens every patient to identify need for further assessment of medical necessity or discharge planning (standard description of which patients are seen). 11. Adheres to the Care Management Department policies and procedures.
- Participates in the Quality and Performance Improvement Plan for the Care Management Department.
- Considers the patient population served, age-specific criteria and the Watson Model of Care in all patient/family care and interaction.
- Utilizes Milliman Care Guideline's best practices to determine patient disposition. Collaborates with on site Hospitalists, Intensivists, Laborists and Emergency Department physicians in this process.
POSITION REQUIREMENTS
A. Education
- Bachelor of Science degree in nursing preferred
- Associates degree in nursing required
B. Qualifications/Experience
- Minimum of one (1) to three (3) years of hospital or related experience required. Internals with at least 18 months acute care case management/coordination experience will be considered in lieu of nursing clinical experience.
- Able to navigate and connect successfully with outside provider networks (Health Plans, IPA's, and FQHC's).
C. Special Skills/Knowledge
- Bilingual language skills preferred (Spanish) Basic computer skills
- Current California Nursing license
- Current Basic Life Support (BLS)
- Certification in Case Management preferred.
- ED Care Managers: Must complete annual Workplace Violence Prevention Program/Certificate, per hospital policy, during initial training/orientation but not to exceed 90 days from hire/transfer.
#LI-YD1
MLKCH Video
RN Care Manager Emergency Room - Per Diem Nights
Posted 1 day ago
Job Viewed
Job Description
POSITION SUMMARY
Reporting to the Director of Care Management, the Care Manager is responsible for managing the continuum of care from admission through discharge for assigned patients. The role reflects appropriate knowledge of RN scope of practice, current state requirements, CMS Conditions of Participation, EMTALA, The Patient Bill of Rights, AB1203 and other Federal or State regulatory agency requirements specific to Utilization Review and Discharge Planning. The Care Manager partners with the medical staff, utilizes scientific evidence for best practices, and relevant data to manage the care of the patient over the continuum of care from pre hospitalization through discharge. These activities include admission, continued, extended and discharge reviews in all reimbursement categories to determine medical necessity, assure high quality of care and efficient utilization of available healthcare resources, facilities and services. This position requires the full understanding and active participation in fulfilling the Mission of Martin Luther King, Jr. Community Hospital. It is expected that the employee will demonstrate behavior consistent with the Core Values. The employee shall support Martin Luther King, Jr. Community Hospital's strategic plan and the goals and direction of the quality and performance improvement process activities.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Is a role model for the Hospital's Patient Satisfaction effort when interacting with customers, subordinates and colleagues.
- Collaborates with the interdisciplinary team participants in team rounds to: facilitate timely care; sssure quality of care throughout the
- hospital stay; and minimize adverse outcomes.
- Initiates appropriate referrals to the internal interdisciplinary team.
- Communicates with Admitting or PFS regarding the needs of the patient, payer and provider are supported within the limitations of the existing individual benefit structure.
- Communicates relevant elements of the health plan benefits.
- Establishes a working diagnosis (DRG) on every patient at the time of admission to estimate the target length of stay or identify the date of discharge for planning and care coordination purposes.
- Communicates target LOS/estimated discharge readiness to physician, patient, family, care team and payor.
- Documents all team, physician and patient/family communication and concerns pertaining to coordination of care and services.
- Screens every patient to identify need for further assessment of medical necessity or discharge planning (standard description of which patients are seen). 11. Adheres to the Care Management Department policies and procedures.
- Participates in the Quality and Performance Improvement Plan for the Care Management Department.
- Considers the patient population served, age-specific criteria and the Watson Model of Care in all patient/family care and interaction.
- Utilizes Milliman Care Guideline's best practices to determine patient disposition. Collaborates with on site Hospitalists, Intensivists, Laborists and Emergency Department physicians in this process.
POSITION REQUIREMENTS
A. Education
- Bachelor of Science degree in nursing preferred
- Associates degree in nursing required
B. Qualifications/Experience
- Minimum of one (1) to three (3) years of hospital or related experience required. Internals with at least 18 months acute care case management/coordination experience will be considered in lieu of nursing clinical experience.
- Able to navigate and connect successfully with outside provider networks (Health Plans, IPA's, and FQHC's).
C. Special Skills/Knowledge
- Bilingual language skills preferred (Spanish) Basic computer skills
- Current California Nursing license
- Current Basic Life Support (BLS)
- Certification in Case Management preferred.
- ED Care Managers: Must complete annual Workplace Violence Prevention Program/Certificate, per hospital policy, during initial training/orientation but not to exceed 90 days from hire/transfer.
#LI-YD1
MLKCH Video
RN Care Manager Emergency Room - Per Diem Nights
Posted 1 day ago
Job Viewed
Job Description
POSITION SUMMARY
Reporting to the Director of Care Management, the Care Manager is responsible for managing the continuum of care from admission through discharge for assigned patients. The role reflects appropriate knowledge of RN scope of practice, current state requirements, CMS Conditions of Participation, EMTALA, The Patient Bill of Rights, AB1203 and other Federal or State regulatory agency requirements specific to Utilization Review and Discharge Planning. The Care Manager partners with the medical staff, utilizes scientific evidence for best practices, and relevant data to manage the care of the patient over the continuum of care from pre hospitalization through discharge. These activities include admission, continued, extended and discharge reviews in all reimbursement categories to determine medical necessity, assure high quality of care and efficient utilization of available healthcare resources, facilities and services. This position requires the full understanding and active participation in fulfilling the Mission of Martin Luther King, Jr. Community Hospital. It is expected that the employee will demonstrate behavior consistent with the Core Values. The employee shall support Martin Luther King, Jr. Community Hospital's strategic plan and the goals and direction of the quality and performance improvement process activities.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Is a role model for the Hospital's Patient Satisfaction effort when interacting with customers, subordinates and colleagues.
- Collaborates with the interdisciplinary team participants in team rounds to: facilitate timely care; sssure quality of care throughout the
- hospital stay; and minimize adverse outcomes.
- Initiates appropriate referrals to the internal interdisciplinary team.
- Communicates with Admitting or PFS regarding the needs of the patient, payer and provider are supported within the limitations of the existing individual benefit structure.
- Communicates relevant elements of the health plan benefits.
- Establishes a working diagnosis (DRG) on every patient at the time of admission to estimate the target length of stay or identify the date of discharge for planning and care coordination purposes.
- Communicates target LOS/estimated discharge readiness to physician, patient, family, care team and payor.
- Documents all team, physician and patient/family communication and concerns pertaining to coordination of care and services.
- Screens every patient to identify need for further assessment of medical necessity or discharge planning (standard description of which patients are seen). 11. Adheres to the Care Management Department policies and procedures.
- Participates in the Quality and Performance Improvement Plan for the Care Management Department.
- Considers the patient population served, age-specific criteria and the Watson Model of Care in all patient/family care and interaction.
- Utilizes Milliman Care Guideline's best practices to determine patient disposition. Collaborates with on site Hospitalists, Intensivists, Laborists and Emergency Department physicians in this process.
POSITION REQUIREMENTS
A. Education
- Bachelor of Science degree in nursing preferred
- Associates degree in nursing required
B. Qualifications/Experience
- Minimum of one (1) to three (3) years of hospital or related experience required. Internals with at least 18 months acute care case management/coordination experience will be considered in lieu of nursing clinical experience.
- Able to navigate and connect successfully with outside provider networks (Health Plans, IPA's, and FQHC's).
C. Special Skills/Knowledge
- Bilingual language skills preferred (Spanish) Basic computer skills
- Current California Nursing license
- Current Basic Life Support (BLS)
- Certification in Case Management preferred.
- ED Care Managers: Must complete annual Workplace Violence Prevention Program/Certificate, per hospital policy, during initial training/orientation but not to exceed 90 days from hire/transfer.
#LI-YD1
MLKCH Video
RN Care Manager Emergency Room - Per Diem Nights
Posted 1 day ago
Job Viewed
Job Description
POSITION SUMMARY
Reporting to the Director of Care Management, the Care Manager is responsible for managing the continuum of care from admission through discharge for assigned patients. The role reflects appropriate knowledge of RN scope of practice, current state requirements, CMS Conditions of Participation, EMTALA, The Patient Bill of Rights, AB1203 and other Federal or State regulatory agency requirements specific to Utilization Review and Discharge Planning. The Care Manager partners with the medical staff, utilizes scientific evidence for best practices, and relevant data to manage the care of the patient over the continuum of care from pre hospitalization through discharge. These activities include admission, continued, extended and discharge reviews in all reimbursement categories to determine medical necessity, assure high quality of care and efficient utilization of available healthcare resources, facilities and services. This position requires the full understanding and active participation in fulfilling the Mission of Martin Luther King, Jr. Community Hospital. It is expected that the employee will demonstrate behavior consistent with the Core Values. The employee shall support Martin Luther King, Jr. Community Hospital's strategic plan and the goals and direction of the quality and performance improvement process activities.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Is a role model for the Hospital's Patient Satisfaction effort when interacting with customers, subordinates and colleagues.
- Collaborates with the interdisciplinary team participants in team rounds to: facilitate timely care; sssure quality of care throughout the
- hospital stay; and minimize adverse outcomes.
- Initiates appropriate referrals to the internal interdisciplinary team.
- Communicates with Admitting or PFS regarding the needs of the patient, payer and provider are supported within the limitations of the existing individual benefit structure.
- Communicates relevant elements of the health plan benefits.
- Establishes a working diagnosis (DRG) on every patient at the time of admission to estimate the target length of stay or identify the date of discharge for planning and care coordination purposes.
- Communicates target LOS/estimated discharge readiness to physician, patient, family, care team and payor.
- Documents all team, physician and patient/family communication and concerns pertaining to coordination of care and services.
- Screens every patient to identify need for further assessment of medical necessity or discharge planning (standard description of which patients are seen). 11. Adheres to the Care Management Department policies and procedures.
- Participates in the Quality and Performance Improvement Plan for the Care Management Department.
- Considers the patient population served, age-specific criteria and the Watson Model of Care in all patient/family care and interaction.
- Utilizes Milliman Care Guideline's best practices to determine patient disposition. Collaborates with on site Hospitalists, Intensivists, Laborists and Emergency Department physicians in this process.
POSITION REQUIREMENTS
A. Education
- Bachelor of Science degree in nursing preferred
- Associates degree in nursing required
B. Qualifications/Experience
- Minimum of one (1) to three (3) years of hospital or related experience required. Internals with at least 18 months acute care case management/coordination experience will be considered in lieu of nursing clinical experience.
- Able to navigate and connect successfully with outside provider networks (Health Plans, IPA's, and FQHC's).
C. Special Skills/Knowledge
- Bilingual language skills preferred (Spanish) Basic computer skills
- Current California Nursing license
- Current Basic Life Support (BLS)
- Certification in Case Management preferred.
- ED Care Managers: Must complete annual Workplace Violence Prevention Program/Certificate, per hospital policy, during initial training/orientation but not to exceed 90 days from hire/transfer.
#LI-YD1
MLKCH Video
RN Care Manager Emergency Room - Per Diem Nights
Posted today
Job Viewed
Job Description
POSITION SUMMARY
Reporting to the Director of Care Management, the Care Manager is responsible for managing the continuum of care from admission through discharge for assigned patients. The role reflects appropriate knowledge of RN scope of practice, current state requirements, CMS Conditions of Participation, EMTALA, The Patient Bill of Rights, AB1203 and other Federal or State regulatory agency requirements specific to Utilization Review and Discharge Planning. The Care Manager partners with the medical staff, utilizes scientific evidence for best practices, and relevant data to manage the care of the patient over the continuum of care from pre hospitalization through discharge. These activities include admission, continued, extended and discharge reviews in all reimbursement categories to determine medical necessity, assure high quality of care and efficient utilization of available healthcare resources, facilities and services. This position requires the full understanding and active participation in fulfilling the Mission of Martin Luther King, Jr. Community Hospital. It is expected that the employee will demonstrate behavior consistent with the Core Values. The employee shall support Martin Luther King, Jr. Community Hospital's strategic plan and the goals and direction of the quality and performance improvement process activities.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Is a role model for the Hospital's Patient Satisfaction effort when interacting with customers, subordinates and colleagues.
- Collaborates with the interdisciplinary team participants in team rounds to: facilitate timely care; sssure quality of care throughout the
- hospital stay; and minimize adverse outcomes.
- Initiates appropriate referrals to the internal interdisciplinary team.
- Communicates with Admitting or PFS regarding the needs of the patient, payer and provider are supported within the limitations of the existing individual benefit structure.
- Communicates relevant elements of the health plan benefits.
- Establishes a working diagnosis (DRG) on every patient at the time of admission to estimate the target length of stay or identify the date of discharge for planning and care coordination purposes.
- Communicates target LOS/estimated discharge readiness to physician, patient, family, care team and payor.
- Documents all team, physician and patient/family communication and concerns pertaining to coordination of care and services.
- Screens every patient to identify need for further assessment of medical necessity or discharge planning (standard description of which patients are seen). 11. Adheres to the Care Management Department policies and procedures.
- Participates in the Quality and Performance Improvement Plan for the Care Management Department.
- Considers the patient population served, age-specific criteria and the Watson Model of Care in all patient/family care and interaction.
- Utilizes Milliman Care Guideline's best practices to determine patient disposition. Collaborates with on site Hospitalists, Intensivists, Laborists and Emergency Department physicians in this process.
POSITION REQUIREMENTS
A. Education
- Bachelor of Science degree in nursing preferred
- Associates degree in nursing required
B. Qualifications/Experience
- Minimum of one (1) to three (3) years of hospital or related experience required. Internals with at least 18 months acute care case management/coordination experience will be considered in lieu of nursing clinical experience.
- Able to navigate and connect successfully with outside provider networks (Health Plans, IPA's, and FQHC's).
C. Special Skills/Knowledge
- Bilingual language skills preferred (Spanish) Basic computer skills
- Current California Nursing license
- Current Basic Life Support (BLS)
- Certification in Case Management preferred.
- ED Care Managers: Must complete annual Workplace Violence Prevention Program/Certificate, per hospital policy, during initial training/orientation but not to exceed 90 days from hire/transfer.
#LI-YD1
MLKCH Video
RN Care Manager Emergency Room - Per Diem Nights
Posted today
Job Viewed
Job Description
POSITION SUMMARY
Reporting to the Director of Care Management, the Care Manager is responsible for managing the continuum of care from admission through discharge for assigned patients. The role reflects appropriate knowledge of RN scope of practice, current state requirements, CMS Conditions of Participation, EMTALA, The Patient Bill of Rights, AB1203 and other Federal or State regulatory agency requirements specific to Utilization Review and Discharge Planning. The Care Manager partners with the medical staff, utilizes scientific evidence for best practices, and relevant data to manage the care of the patient over the continuum of care from pre hospitalization through discharge. These activities include admission, continued, extended and discharge reviews in all reimbursement categories to determine medical necessity, assure high quality of care and efficient utilization of available healthcare resources, facilities and services. This position requires the full understanding and active participation in fulfilling the Mission of Martin Luther King, Jr. Community Hospital. It is expected that the employee will demonstrate behavior consistent with the Core Values. The employee shall support Martin Luther King, Jr. Community Hospital's strategic plan and the goals and direction of the quality and performance improvement process activities.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Is a role model for the Hospital's Patient Satisfaction effort when interacting with customers, subordinates and colleagues.
- Collaborates with the interdisciplinary team participants in team rounds to: facilitate timely care; sssure quality of care throughout the
- hospital stay; and minimize adverse outcomes.
- Initiates appropriate referrals to the internal interdisciplinary team.
- Communicates with Admitting or PFS regarding the needs of the patient, payer and provider are supported within the limitations of the existing individual benefit structure.
- Communicates relevant elements of the health plan benefits.
- Establishes a working diagnosis (DRG) on every patient at the time of admission to estimate the target length of stay or identify the date of discharge for planning and care coordination purposes.
- Communicates target LOS/estimated discharge readiness to physician, patient, family, care team and payor.
- Documents all team, physician and patient/family communication and concerns pertaining to coordination of care and services.
- Screens every patient to identify need for further assessment of medical necessity or discharge planning (standard description of which patients are seen). 11. Adheres to the Care Management Department policies and procedures.
- Participates in the Quality and Performance Improvement Plan for the Care Management Department.
- Considers the patient population served, age-specific criteria and the Watson Model of Care in all patient/family care and interaction.
- Utilizes Milliman Care Guideline's best practices to determine patient disposition. Collaborates with on site Hospitalists, Intensivists, Laborists and Emergency Department physicians in this process.
POSITION REQUIREMENTS
A. Education
- Bachelor of Science degree in nursing preferred
- Associates degree in nursing required
B. Qualifications/Experience
- Minimum of one (1) to three (3) years of hospital or related experience required. Internals with at least 18 months acute care case management/coordination experience will be considered in lieu of nursing clinical experience.
- Able to navigate and connect successfully with outside provider networks (Health Plans, IPA's, and FQHC's).
C. Special Skills/Knowledge
- Bilingual language skills preferred (Spanish) Basic computer skills
- Current California Nursing license
- Current Basic Life Support (BLS)
- Certification in Case Management preferred.
- ED Care Managers: Must complete annual Workplace Violence Prevention Program/Certificate, per hospital policy, during initial training/orientation but not to exceed 90 days from hire/transfer.
#LI-YD1
MLKCH Video
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RN Care Manager Emergency Room - Per Diem Nights
Posted today
Job Viewed
Job Description
POSITION SUMMARY
Reporting to the Director of Care Management, the Care Manager is responsible for managing the continuum of care from admission through discharge for assigned patients. The role reflects appropriate knowledge of RN scope of practice, current state requirements, CMS Conditions of Participation, EMTALA, The Patient Bill of Rights, AB1203 and other Federal or State regulatory agency requirements specific to Utilization Review and Discharge Planning. The Care Manager partners with the medical staff, utilizes scientific evidence for best practices, and relevant data to manage the care of the patient over the continuum of care from pre hospitalization through discharge. These activities include admission, continued, extended and discharge reviews in all reimbursement categories to determine medical necessity, assure high quality of care and efficient utilization of available healthcare resources, facilities and services. This position requires the full understanding and active participation in fulfilling the Mission of Martin Luther King, Jr. Community Hospital. It is expected that the employee will demonstrate behavior consistent with the Core Values. The employee shall support Martin Luther King, Jr. Community Hospital's strategic plan and the goals and direction of the quality and performance improvement process activities.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Is a role model for the Hospital's Patient Satisfaction effort when interacting with customers, subordinates and colleagues.
- Collaborates with the interdisciplinary team participants in team rounds to: facilitate timely care; sssure quality of care throughout the
- hospital stay; and minimize adverse outcomes.
- Initiates appropriate referrals to the internal interdisciplinary team.
- Communicates with Admitting or PFS regarding the needs of the patient, payer and provider are supported within the limitations of the existing individual benefit structure.
- Communicates relevant elements of the health plan benefits.
- Establishes a working diagnosis (DRG) on every patient at the time of admission to estimate the target length of stay or identify the date of discharge for planning and care coordination purposes.
- Communicates target LOS/estimated discharge readiness to physician, patient, family, care team and payor.
- Documents all team, physician and patient/family communication and concerns pertaining to coordination of care and services.
- Screens every patient to identify need for further assessment of medical necessity or discharge planning (standard description of which patients are seen). 11. Adheres to the Care Management Department policies and procedures.
- Participates in the Quality and Performance Improvement Plan for the Care Management Department.
- Considers the patient population served, age-specific criteria and the Watson Model of Care in all patient/family care and interaction.
- Utilizes Milliman Care Guideline's best practices to determine patient disposition. Collaborates with on site Hospitalists, Intensivists, Laborists and Emergency Department physicians in this process.
POSITION REQUIREMENTS
A. Education
- Bachelor of Science degree in nursing preferred
- Associates degree in nursing required
B. Qualifications/Experience
- Minimum of one (1) to three (3) years of hospital or related experience required. Internals with at least 18 months acute care case management/coordination experience will be considered in lieu of nursing clinical experience.
- Able to navigate and connect successfully with outside provider networks (Health Plans, IPA's, and FQHC's).
C. Special Skills/Knowledge
- Bilingual language skills preferred (Spanish) Basic computer skills
- Current California Nursing license
- Current Basic Life Support (BLS)
- Certification in Case Management preferred.
- ED Care Managers: Must complete annual Workplace Violence Prevention Program/Certificate, per hospital policy, during initial training/orientation but not to exceed 90 days from hire/transfer.
#LI-YD1
MLKCH Video
RN Care Manager Emergency Room - Per Diem Nights
Posted today
Job Viewed
Job Description
POSITION SUMMARY
Reporting to the Director of Care Management, the Care Manager is responsible for managing the continuum of care from admission through discharge for assigned patients. The role reflects appropriate knowledge of RN scope of practice, current state requirements, CMS Conditions of Participation, EMTALA, The Patient Bill of Rights, AB1203 and other Federal or State regulatory agency requirements specific to Utilization Review and Discharge Planning. The Care Manager partners with the medical staff, utilizes scientific evidence for best practices, and relevant data to manage the care of the patient over the continuum of care from pre hospitalization through discharge. These activities include admission, continued, extended and discharge reviews in all reimbursement categories to determine medical necessity, assure high quality of care and efficient utilization of available healthcare resources, facilities and services. This position requires the full understanding and active participation in fulfilling the Mission of Martin Luther King, Jr. Community Hospital. It is expected that the employee will demonstrate behavior consistent with the Core Values. The employee shall support Martin Luther King, Jr. Community Hospital's strategic plan and the goals and direction of the quality and performance improvement process activities.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Is a role model for the Hospital's Patient Satisfaction effort when interacting with customers, subordinates and colleagues.
- Collaborates with the interdisciplinary team participants in team rounds to: facilitate timely care; sssure quality of care throughout the
- hospital stay; and minimize adverse outcomes.
- Initiates appropriate referrals to the internal interdisciplinary team.
- Communicates with Admitting or PFS regarding the needs of the patient, payer and provider are supported within the limitations of the existing individual benefit structure.
- Communicates relevant elements of the health plan benefits.
- Establishes a working diagnosis (DRG) on every patient at the time of admission to estimate the target length of stay or identify the date of discharge for planning and care coordination purposes.
- Communicates target LOS/estimated discharge readiness to physician, patient, family, care team and payor.
- Documents all team, physician and patient/family communication and concerns pertaining to coordination of care and services.
- Screens every patient to identify need for further assessment of medical necessity or discharge planning (standard description of which patients are seen). 11. Adheres to the Care Management Department policies and procedures.
- Participates in the Quality and Performance Improvement Plan for the Care Management Department.
- Considers the patient population served, age-specific criteria and the Watson Model of Care in all patient/family care and interaction.
- Utilizes Milliman Care Guideline's best practices to determine patient disposition. Collaborates with on site Hospitalists, Intensivists, Laborists and Emergency Department physicians in this process.
POSITION REQUIREMENTS
A. Education
- Bachelor of Science degree in nursing preferred
- Associates degree in nursing required
B. Qualifications/Experience
- Minimum of one (1) to three (3) years of hospital or related experience required. Internals with at least 18 months acute care case management/coordination experience will be considered in lieu of nursing clinical experience.
- Able to navigate and connect successfully with outside provider networks (Health Plans, IPA's, and FQHC's).
C. Special Skills/Knowledge
- Bilingual language skills preferred (Spanish) Basic computer skills
- Current California Nursing license
- Current Basic Life Support (BLS)
- Certification in Case Management preferred.
- ED Care Managers: Must complete annual Workplace Violence Prevention Program/Certificate, per hospital policy, during initial training/orientation but not to exceed 90 days from hire/transfer.
#LI-YD1
MLKCH Video
LVN -Outpatient- Level II - Medical Offices D at Ontario - Urgent Care - On Call
Posted 1 day ago
Job Viewed
Job Description
Provides nursing care to patients under the direction of a Registered Nurse of physician/advanced practice provider. Utilizes observational skills to observe nursing intervention and assists medical staff to insure optimal care within established policies, procedures, and standards. Under the direct supervision of a Registered Nurse or provider provides nursing care in accordance with the legal scope of practice and within established standards of care, policies, and procedures. Demonstrates performance consistent with the Mission, Vision, and Strategic Plan of the organization. Demonstrates quality and effectiveness in work habits and clinical practice and treats coworkers, patients, families, and all members of the health care team with dignity and respect.
Essential Responsibilities:
* Exhibits excellent customer relations with patients, visitors, providers, and co-workers; shows courtesy, compassion, and respect; conforms to the critical service standards established for the department.
* Provides therapeutic patient care in accordance with the patients established by physician/advanced practice providers and/or a registered nurse within the scope of practice.
* Transcribes physician/advanced practice providers orders and directed by policy.
* Communicates directly with a registered nurse to institute changes in the plan of care; assists with and contributes to the development of a nursing care plan.
* Administer specified medication appropriately and accurately following the providers order and or standing orders within scope of practice.
* Executes treatments such as urinary catheterizations, placement of intravenous catheters, bladder irrigations and instillations, suctioning procedures, throat irrigations and enemas, and utilizing equipment as required. Adheres to infection prevention and control policies and procedures.
* Adheres to high level of disinfectant, point of use, peel packs policies, and procedures.
* Perform related patient care functions such as taking temperature, pulse, respiration and blood pressure readings, wound care, may instruct patient in various self-administered treatment or procedures; obtain specimens; assures correct culture collection.
* Assist physician/advance practice providers or other medical staff personnel with examinations and treatments by selecting and passing instruments, providing support and restraint to the patient, draping, and other assistance as directed or required.
* Within scope observes and documents patients condition by gathering signs, symptoms, and reactions to therapy, to identify unexpected and/or significant findings, initiates appropriate emergency procedures as necessary, and reports unusual conditions to the registered nurse/advanced practice providers as established by policy and procedure in a timely manner.
* May volunteer to start and maintain intravenous flow rate with Certifications, notifies registered nurse/advanced practice/physician of any problems. May discontinue IV therapy except intra-cath and central venous lines.
* May volunteer to start perform venipuncture/blood withdrawal with Certifications.
* Collects and processes specimens per policy, procedures, guidelines, and protocols.
* Provides non-compoicated teaching following the registered nurse/advanced practice provider/physician plan for education. Report any identified learning needs and discharge barriers.
* Ensures cleanliness of nursing module/station, patient exam room, and proper functioning of patient care equipment by visual inspection, routine testing, and other related methods. Provides a safe and therapeutic environment for patients and staff.
* Utilizes effective verbal and non-verbal forms of communication.
* Performs in other departments or modules to which assigned as required by the nursing/department administration to provide and maintain the established standards of care and safety.
* Performs departmental back-office workflows including but not limited to proactive office encounter, successfully closing care gaps, patient outreach, access and/or nurse visits.
* Participates in staff meetings, and in-service programs.
* Assists in ordering and distribution/stocking of module/department supplies and equipment.
* Accepts verbal and telephone orders from the physician/advanced practice providers.
* Supports patient communication and message management including but not limited to patient emails, call center messages, and all other back-office messages.
* Administers pulse oximetry, humidification therapy, spirometer, oxygen therapy via mask or nasal cannula, oral, nasal, and trach suctioning, and sputum induction.
* Documents care in Health Connect per policy, procedures, guidelines, and protocols.
* Performs other related duties as assigned and required, including orientation of new employees.
* Assists in coordinating the discharge process.
* Performs all job functions within license certification and scope of practice.
* Promotes, ensures, and improves customer service to internal/external customers by demonstrating skills which are consistent with the organizations philosophy of providing extraordinary customer relations and quality service.
* Consistently supports compliance and the Principles of Responsibilities (Kaiser Permanentes Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licenser requirements (if applicable), and kaiser Permanentes policies and procedures.
* Age Related Competencies: Skills assessments and validations are utilized to ensure that employees providing patient care to specific age groups (i.e., infants, adolescents, elderly, etc.) are proficient in identifying the special needs and behaviors associated with a particular patient population.