Registered Nurse Case Manager -Hybrid-Los Angeles, California

Partners in Care Foundation In•San Fernando, CA

6h•$36 - $41•Hybrid

About The Position

The Registered Nurse Case Manager partners with clients and their families or representatives to understand health and independent-living goals, preferences, and needs. The role conducts in-home visits and comprehensive assessments, determines levels of care, develops and monitors care plans, and coordinates authorized medical services with physicians, other health professionals, social work care managers, and community resources. The position also maintains client contact and documentation, responds to crises, supports quality through peer reviews, and builds community referral relationships. Home visits are required throughout Los Angeles, Lynwood, and Long Beach.

Requirements

Associate or Bachelor of Science degree in Nursing.
One year of experience in an acute care hospital providing care management and working with seriously ill, frail, disabled, and cognitively impaired adults.
Current, active California Board of Registered Nursing license in good standing.
Current CPR/BLS card.
Provide a current automobile insurance certificate annually, with coverage of $15,000/$30,000 for injury and $5,000 for property damage.
Ability to conduct home visits throughout Los Angeles, Lynwood, and Long Beach.

Nice To Haves

Bilingual.

Responsibilities

Partner with clients and families or representatives to elicit goals, preferences, and needs for health and independent living.
Conduct in-home visits and in-depth assessments and reassessments covering medical, health, and rehabilitation concerns.
Certify level-of-care determinations.
Perform physical assessments as necessary and interpret clinical findings.
Ensure authorized medical services are delivered.
Work with physicians and other health professionals to support comprehensive care delivery.
Develop care plans, implement and monitor services, and consult with the social work care manager.
Document case activity and complete reports, correspondence, and other required records in a timely manner.
Participate in peer reviews to verify the need for waiver services and the quality of plans of treatment and documentation.
Evaluate clients’ health and psychosocial status using relevant information sources, including issues related to age, diagnosis, and disabilities.
Participate in care planning and develop plans specific to client needs.
Implement interventions and services using community resources in a timely manner.
Maintain and document regular client contact and provide ongoing support as needed.
Identify, assess, and respond to crisis situations promptly with appropriate interventions.
Follow applicable legal, departmental, and hospital regulations.
Develop and maintain positive community interactions and referral relationships.
Recognize and resolve problems and conflicts in a timely and appropriate manner.
Maintain effective verbal and written communication, positive interpersonal relationships, and teamwork with department staff, ancillary staff, and community partners.