RN, Care Manager (Part-time, Day Shift)

Adventist Health•Selma, CA
•Onsite

About The Position

Adventist Health Selma is a 57-bed acute care hospital with six local medical offices serving the Central San Joaquin Valley. The RN, Care Manager helps develop, implement, revise, and report on the case management program. The role acts as a liaison among patients, families, nurses, physicians, the multidisciplinary team, and healthcare benefactors to optimize outcomes, and serves as a consultant to the healthcare team on patient-specific matters. The Care Manager coordinates continuity of care for a defined patient population from pre-admission through post-discharge and helps patients and families move efficiently through hospitalization. This position coordinates care across disciplines, monitors the appropriateness and timeliness of care, and supports alignment of the interdisciplinary care plan with the patient’s clinical course, continuing-care needs, and covered services. It focuses on complex and high-utilization patient populations, coordinates transfers to tertiary centers, and supports regulatory and accreditation compliance through oversight and data collection. Associates must receive required vaccinations as a condition of employment and annually thereafter where applicable; medical and religious exemptions may apply. Adventist Health participates in E-Verify.

Requirements

  • Registered Nurse (RN) licensure in the state of practice is required.
  • Receive all required vaccinations as a condition of employment and annually thereafter where applicable; medical and religious exemptions may apply.

Nice To Haves

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

Responsibilities

  • Coordinate patient care with other disciplines within the care team and monitor the appropriateness and timeliness of care.
  • Monitor diagnostic testing, treatments, procedures, and other aspects of acute care to ensure the interdisciplinary care plan aligns with the patient’s clinical course, continuing-care needs, and covered services.
  • Discuss resource utilization, consultations, treatment plans, estimated length of stay, and discharge plans with physicians.
  • Focus on complex patients, frequent emergency department utilizers, chronic pain patients, patients with substance abuse, and homeless patients.
  • Collaborate with acute care case managers to ensure ongoing care is appropriate.
  • Coordinate patient transfers to tertiary centers, including transfer of information needed for continuity of treatment and services.
  • Provide oversight and collect data required for regulatory and accreditation compliance.
  • Manage frequent emergency department visitors by conducting focused reviews of previous and current admissions.
  • Perform other job-related duties as assigned.
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