Case Management Nurse - ED - Per Diem Days

Torrance Memorial Medical Center•Torrance, CA

About The Position

Under supportive supervision, the Case Management Nurse supports the physician and interdisciplinary team in providing patient care. The role aims to enhance clinical outcomes and patient satisfaction, manage the cost of care, and provide payers with timely and accurate information. It integrates and coordinates utilization management, care facilitation, transitions of care, and discharge planning. The nurse is accountable for a designated patient caseload and plans to meet patient needs, manage length of stay, and promote efficient use of resources. The nurse manages discharge planning for assigned patients by assessing needs with patients and families and developing individualized continuing-care plans in collaboration with physicians. The position also coordinates appropriate post-hospitalization facilities and services, identifies and resolves discharge obstacles, participates in interdisciplinary discussions, and monitors observation cases for timely discharge.

Requirements

Associate degree in Nursing.
One year of acute case management experience.
Five years of nursing clinical experience.
Registered Nurse license.
BCLS or ACLS certification.

Responsibilities

Adhere to policies, procedures, and standards of practice to deliver safe and optimal care.
Comply with Joint Commission national patient safety goals and organizational quality dashboard and benchmarking goals.
Maintain regulatory compliance consistent with quality standards and professional ethical obligations.
Participate in activities aligned with the Magnet Model, organizational committees, task forces, projects, and peer review; present project reports and recommendations at the unit level as applicable.
Participate in professional development activities and actively serve as a preceptor.
Provide patient and family education throughout care and age-specific, culturally competent discharge planning.
Use resources economically.
Manage discharge planning for assigned patients, including meeting with patients and families to assess needs and develop individualized continuing-care plans in collaboration with physicians.
Determine appropriate post-hospitalization facilities, durable medical equipment, post-discharge nursing or therapy interventions, social services involvement, and assistance with activities of daily living.
Interview patients, family members, or caregivers; communicate with responsible physicians; and review medical records.
Identify and resolve delays and obstacles in collaboration with RN Case Managers, nursing staff, and attending physicians.
Attend interdisciplinary conferences and team meetings as appropriate to discuss home situation, independence, activities of daily living, home management and environment, and anticipated continuing-care needs.
Develop and maintain cooperative relationships with hospital personnel, physicians, suppliers, and insurance case managers.
Enter data, including managed-care patient referrals, into the Home Health System.
Monitor observation cases to ensure patients are discharged appropriately and in a timely manner.