Providence Health & Services Case Manager (RN) in Burbank, California
Providence is calling a Per Diem, Day shift Case Manager (RN) to Providence St Joseph Medical Center in Burbank, CA.
We are seeking a Case Manager (RN) who will perform the primary functions of assessment, planning, facilitation and advocacy, which are achieved through collaboration with the client and other health care professionals involved in the client's care.
"Case management is a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality cost effective outcomes." (CMSA, 2009).
In this position you will have the following responsibilities:
Consider evidenced-based protocols for new patients
Keep running problem sheet on the patient, so hand-offs are easy
Diagnostics to be reviewed or ordered
Interactions with sub-specialists
Post-acute options and confirmation of targeted transition
Accuracy and completeness of medical documentation
Start the discharge planning on admission to evaluate probable post-acute needs and target a transition date
Responsible for established Ministry and Regional metrics. Monitoring specific CM/SW outcomes. Participates in regional and system directives
Conducting a comprehensive assessment of the client’s health and psychosocial needs, including health literacy status and deficits, and develops a case management plan collaboratively with the client and family or caregiver
Planning with the client, family or caregiver, the primary care physician/ provider, other health care providers, the payer, and the community, to maximize health care responses, quality, and cost effective outcomes
Facilitating communication and coordination between members of the health care team, involving the client in the decision-making process in order to minimize fragmentation in the services
Educating the client, the family or caregiver, and members of the health care delivery team about treatment options, community resources, insurance benefits, psychosocial concerns, case management, etc., so that timely and informed decisions can be made
Empowering the client to problem-solve by exploring options of care, when available, and alternative plans, when necessary, to achieve desired outcomes
Encouraging the appropriate use of health care services and strives to improve quality of care and maintain cost effectiveness on a case-by-case basis
Assisting the client in the safe transitioning of care to the next most appropriate level
Striving to promote client self-advocacy and self-determination
Advocating for both the client and the payer to facilitate positive outcomes for the client, the health care team, and the payer. However, if a conflict arises, the needs of the client must be the priority
Required qualifications for this position include:
Requires California State Registered Nurse License
2 years acute hospital experience within the past 5 years
Strong clinical knowledge baseSpecial Skills/Desirable Qualifications:
Must be tactful and proficient at conflict resolution
Must be able to work well independently and with a team
Judgment must include ability to make accurate, rapid and long-term decisions under pressure
Must be able to project a positive self-image
Must be self-motivated
Must have good oral and written communication skills
Strong leadership, supervision interpersonal and organizational skills
Excellent communication skills, both oral and written
Excellent customer services skills
Strong problem-solving skills and flexibility
Demonstrated ability to work independently and self-directed
Ability to plan, organize, prioritize, evaluate and document
Excellent presentation skills
Basic computer skills, Word, Excel, Access and PowerPoint
Knowledge regarding State and Federal regulations, HMO, PPO and Utilization processes
Knowledge of Discharge planning and Case Management
Knowledge of principles and practices of Utilization and Quality Management
Knowledge of CPT, IDC-9 Coding
Preferred qualifications for this position include:
Bachelor's Degree in Nursing
About the hospital you will serve.
Providence Saint Joseph Medical Center in Burbank, CA, is a 414 bed acute care facility, known for its state-of-the-art technology and high quality, compassionate care, has provided the full range of diagnostic, treatment, care and support services for the San Fernando Valley communities for close to 70 years. Many of our specialized services are provided within our Heart and Vascular Institute, one of Los Angeles County's first STEMI designated receiving centers of heart attack victims; our Hycy and Howard Hill Neuroscience Institute, awarded the Gold Seal of Approval from The Joint Commission for a Primary Stroke Center, and the Gold Plus Achievement Award from the American Stroke Association (2010); our Women's Pavilion, and our newly opened the Roy and Patricia Disney Family Cancer Center, a comprehensive, state-of-the-art, patient-centered, treatment facility. Our cancer center includes some of the most advanced technology in radiation oncology, highly advanced medical and surgical oncology, excellent clinical outcomes and research, and all patient support services are housed in the same building. Providence Saint Joseph Medical Center has an exceptional orthopedic program recognized for its excellent outcomes and clinical expertise. And Providence Saint Joseph's Bariatric Program, a leader and resource for those dealing with obesity in Southern California, received a Five-Star Rating for Bariatric Surgery, and Bariatric Surgery Center of Excellence designation from HealthGrades.
We offer a full comprehensive range of benefits - see our website for details
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Schedule: On Call
Job Category: Case Management
Req ID: 243998