Nurse manager Jobs in Richmond, CA

CASE MANAGER RN NEEDED -

5 / 8s

Every Other Weekend

Certification Requirements :

CA RN LICENSE

BLS

Experience : 5+ Years of RN Case Management experience

JOB DUTIES :

Responsible for Care Coordination and Care Transitions Planning throughout the acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely progression and transition of patients to the appropriate level of care to prevent unnecessary admissions or readmissions. The Care Management process encompasses communication and facilitates care across the continuum through effective resource coordination. The goals of this role are to include the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating in a timely and integrated fashion. He / She collaborates with patients, families, physicians, the interdisciplinary team, nursing management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and community resources. If assigned to the Emergency Department, the Care Management process is to address complex clinical and social situations efficiently in order to avoid unnecessary admissions.

JOB ACCOUNTABILITIES :

Patient Initial and Continued Assessment.

• Reviews initial physician admission care plan. Gathers additional medical, psychosocial, and financial information from the patient / family interview, medical record assessment, physicians, and other health care providers. Determines moderate or high risk level for readmission. Conducts a screening for ancillary supportive services, including but not limited to Palliative Care Services' needs.
• Functionally supervises and actively leads the health care team in developing comprehensive cost-effective care coordination plans that meet the clinical needs of our patients.
• Identifies and refers quality and risk management concerns to appropriate level for patient safety reporting and trending.
• Directs and oversees the Case Management Assistants to determine preferences for post-acute care services.

Utilization Management.

Care Coordination / Care Transitions.

Actively participates in ongoing department operations.