RN Case Manager - Case Management - Full-Time (8:00AM to 4:30PM) - Marina Hospital
- Performs evaluation and or assessment within the established/communicated timeframe
- Documents appropriate reviews for assigned patients using utilization review tool.
- Provides telephonic review for identified contracted/private patients collaborates with on-site and/or outside reviewers.
- Keeps patients informed of progress and provides information related to disease progression.
- Collaborates with discharge planner to make orders and arranges for home care equipment, healthcare needs, and works with third-party payers to validate orders.
- Educates patients and families on all aspects of patients? hospitalization and continuing care.
- Assumes responsibility for timely completion of required case management reports for regulatory bodies, health plans, and insurance carriers.
- Interacts professionally with patient/family/caregivers and involves them in the formation of the plan of care and discharge needs.
- Coordinates with multidisciplinary team to ensure the identification of a safe and appropriate discharge plan for each assigned patient.
- Documentation meets current standards and policies.
- Maintains department cleanliness and safety.
- Associate's degree in Nursing (required).
- Bachelor's degree in Nursing (preferred).
- Current and valid California RN License (required).
- Certified Case Manager (CCM) or Accredited Case Manager (ACM) (preferred).
- Minimum of 2 years of nursing experience in an acute care setting (required).
- Minimum of 1year of Case Management experience (preferred).
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