RN, Care Manager, Full-time, Day Shift

Adventist Health
Onsite

About The Position

Adventist Health Sonora has been one of the area's leading healthcare providers since 1900. We are comprised of a 72-bed hospital, 30 medical offices, comprehensive cancer care and a vast scope of award-winning services located throughout Tuolumne and Calaveras counties and the surrounding areas. Sonora is known for its friendly hometown charm, vast outdoor experiences and lively downtown. The allure of Sonora's close-knit community is complimented by its proximity to Yosemite National Park, as well as just a quick drive to Lake Tahoe. Job Summary: Provides excellent patient care by assisting in the collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient, family, nurse, physicians, multidisciplinary team and patient's healthcare benefactor to optimize outcomes. Serves as a consultant to the healthcare team on specific patient items. Coordinates a continuum of care for a defined population of patients from pre-admission through post discharge. Assures that patients and families proceed efficiently through the course of hospitalization.

Requirements

  • Registered Nurse (RN) licensure in the state of practice: Required

Nice To Haves

  • Bachelor's Degree in Nursing (BSN): Preferred
  • Experience in a care management role: Preferred
  • Case management certification: Preferred

Responsibilities

  • Leads the coordination of patient care with other disciplines within the care team, monitoring the appropriateness and timeliness of care.
  • Ensures the interdisciplinary care plan is consistent with the patient’s clinical course, continuing care needs and covered services by monitoring diagnostic testing, treatments and procedures, and other aspects of patient care as appropriate for acute care.
  • Discusses with physicians, the appropriateness of resource utilization, consultations, treatment plan, estimated length of stay, and discharge plan.
  • Focuses on complex patients, frequent emergency department utilizers, chronic pain patients, substance abuse patients and homeless patients.
  • Collaborates with acute care case managers to ensure appropriateness on ongoing care.
  • Coordinates the transfer of patients to tertiary centers, including the transfer of patient information required for continuity of ongoing treatment and services.
  • Provides oversight and collects data required for regulatory and accreditation compliance.
  • Manages frequent emergency department visitors by conducting a focus study review of the previous and current admissions.
  • Performs other job-related duties as assigned.
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