RN Case Manager Care Coordinator
US-CA-NORTHRIDGE
commonspirit_careers
Req #: 360693
Type: Day
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Overview: Founded in 1955, Dignity Health - Northridge Hospital Medical Center is a 394-bed, acute care, nonprofit community hospital located in Northridge, California. The hospital offers a full complement of award winning services, including the Leavey Cancer Center, a cardiovascular center, stroke center, the Center for Assault Treatment Services, a pediatric medical center, and the only pediatric trauma center in the San Fernando Valley. As a leading provider of compassionate, high-quality and affordable patient-centered care, we share a rich legacy with Dignity Health, one of the nation's five largest health care systems. We are part of a 21-state network of nearly 9,000 physicians, 62,000 employees and more than 400 care centers. Visit dignityhealth.org/northridgehospital for more information. RN Case Manager (Care Coordinator) Case Manager Northridge Hospital Medical Center The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified patients requiring these services. The RN Care Coordinator performs this role to meet the individual's health needs while promoting quality of care, cost effective outcomes and by following hospital policies, standards of practice and Federal and State regulations. The position's emphasis will be on care coordination, communication and collaboration with utilization management, nursing, physicians, ancillary departments, insurers and post acute service providers to progress the care toward optimal outcomes at the appropriate level of care. The RN Care Coordinator advocates for the patient and family by identifying, valuing, and addressing patient choice, spiritual needs, cultural, language and socioeconomic barriers to care transitions. In addition, the RN Care Coordinator strives to enhance the patient experience. You'll build trust in these interactions by showing compassion, using your critical thinking skills, and remembering that each patient requires a custom care plan tailored to their needs. You will support patients by identifying and removing patient care barriers that will regress their healing. Your talent for creative thinking is vital to your success in case management. It shines as you develop enhanced discharge plans yielding optimal outcomes for each patient. We appreciate your interest in our company and are pleased to inform you that we offer a comprehensive benefits package to our employees;that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, and more! #RN #Care Coordination #LI-DH Responsibilities: * Completes and documents a discharge planning assessment on those patients identified by the designated screening process, or upon request. Reassess the patient as appropriate and update the plan accordingly. * Facilitates the development of a multidisciplinary discharge plan, engaging other relevant health team members, the patient and/or patient representative and post acute care providers in accordance with the patients clinical or psychosocial needs, choices and available resources. * Oversees and evaluates the implementation of the discharge plan. * Collaborates with the multidisciplinary team to ensure progression of care and appropriate utilization of inpatient resources using established evidence based guidelines/criteria. * Collaborates with the healthcare team and post-acute service providers to ensure timely and smooth transitions to the most appropriate type and setting of post-acute services based upon patients clinical needs. * Identifies risk for readmission and implements interventions to mitigate those risks for at least a 30-day period. * Responsible for delivery of appropriate patient notifications and related documentation * Responsible for patient education and advocacy. * Participates in performance improvement teams and programs as necessary. * Demonstrates behavior that aligns with the Mission and Core Values of the Organization. * Responsible for completing required education within established timeframes. * Adheres to all hospital policies, standards of practice and Federal or State regulations pertaining to their practice. * Have an understanding of Utilization Review to progress plan of care. * Understand how utilization management and case management programs integrate. * Knowledge of CMS standards and requirements. Qualifications: * CA Registered Nurse (RN) License required. * Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience. * At least five (5) years of nursing experience preferred. * AHA BLS required within 3 months of hiring if located within hospital * Prior Care Coordination experience in a clinical or insurance setting is required. * Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred. * Knowledge of managed care and payer environment preferred. * LA City Fire Card required within 90 days of hire.. This position is represented by SEIU-121 and is covered by the terms and conditions of the applicable collective bargaining agreement.
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