401 Healthcare jobs in Federal
Registered Nurse Supervisor RN
Posted 15 days ago
Job Viewed
Job Description
Overview:
This is an 8-hour WEEKEND shift
At Promise Hospice Inc, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve.
Responsibilities:
The RN Supervisor supports the Director of Nursing with the delivery of efficient and effective nursing care while achieving positive clinical outcomes, and patient/family and employee satisfaction.
*Lead, guide and direct the clinical operations of the nursing units on assigned shift including ensuring compliance with policies and procedures, practice standards and regulations.
*Facilitate the implementation of the care delivery model and processes, mentoring staff, along with coordination and communication with other departments.
*Collaborate with the Director of Nursing to maintain adequate nursing staff to provide safe, 24/7 nursing care with an emphasis on limiting use of overtime and agency personnel.
*Participate in staff recruitment, new hire orientation and make recommendations for employee promotions, transfers, and terminations.
Qualifications:
*Must be a graduate of an accredited school of nursing, college, or university; BSN preferred.
*Current Registered Nurse licensure by the State Board of Nursing
Benefits:
*Variable compensation plans
*Tuition, Travel, and Wireless Service Discounts
*Employee Assistance Program to support mental health
*Employee Foundation to financially assist through unforeseen hardships
*Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off
We also offer several voluntary insurances such as:
*Pet Insurance
*Term and Whole Life Insurance
*Short-term Disability
*Hospital Indemnity
*Personal Accident
*Critical Illness
*Cancer Coverage
Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.
Posted Salary Range: USD $54.00 - USD $56.00 /Hr.
Company Details
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
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
Be The First To Know
About the latest Healthcare Jobs in Federal !
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