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, 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 plans discharge and continuing care with patients and families in collaboration with physicians, coordinates with hospital personnel and external providers, monitors observation cases for timely discharge, and provides age-specific and culturally competent discharge planning. The role also includes patient and family education, professional development, peer review, precepting, and participation in organizational committees and projects.

Requirements

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

Responsibilities

Adhere to policies, procedures, and standards of practice to deliver safe, optimal care.
Comply with Joint Commission national patient safety goals, organizational quality dashboard and benchmarking goals, and applicable regulatory and ethical standards.
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 serve as an active, engaged preceptor.
Provide patient and family education throughout care and age-specific, culturally competent discharge planning.
Use resources economically.
Manage discharge planning for assigned patients by meeting with patients and families, assessing needs, and developing individualized continuing care plans with physicians.
Determine appropriate post-hospitalization facilities, durable medical equipment, post-discharge nursing or therapy interventions, social service involvement, and assistance with activities of daily living.
Interview patients, family members, and 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 patients’ home situations, independence, activities of daily living, home management and environment, and anticipated continuum-of-care needs.
Develop and maintain cooperative relationships with hospital personnel, physicians, suppliers, and insurance case managers.
Enter data, including referrals for managed-care patients, into the Home Health System.
Monitor observation cases to support appropriate and timely discharge.