RN Case Manager

CommonSpirit HealthSanta Maria, CA
Onsite

About The Position

As our Case Manager RN, you will coordinate the care and services of patients across the continuum of illness; promote effective utilization; monitor health care resources; and assume a leadership role with the interdisciplinary team to achieve optimal outcomes through the tools of case management. Every day you will perform a wide variety of high-level patient care activities to include admission assessment, screen for appropriateness, and development of a discharge plan. Timely and appropriate discharges will be accomplished by evaluating the patient's post-discharge needs and the provision of services necessary to meet those needs. To be successful in this role you must be knowledgeable in community resources and alternate care facilities. Utilizes the nursing process to provide safe therapeutic physician ordered care for patients Assessment- assesses the patient condition at each visit noting significant changes in condition. Conducts Outcome and Assessment Information Sets and other required tools at the appropriate timeframes. Planning- develops a patient specific plan of care in collaboration with the patient and physician. Coordinates timely and accurate preparation of plan of treatment and recertifications as assigned. Makes recommendations that may improve the patient's quality of life Implementation- Oversees or carries out the treatment plan. performs physician ordered tasks maintaining principles of infection control. Treats patients and family members and caregivers with dignity, courtesy and respect Evaluation- Regularly evaluates the needs of the patient. Evaluates patient's progress to goals and prepares the patient for discharge. Completes discharge planning in collaboration with patient, physician, other nurses, social worker and other health care workers as applicable. Participates in patient care conferences Assists with coordination of patient-care activities/scheduling. Collaborates/cooperates to assure effective consistent management of patients. Ensures care coordination occurs with all applicable disciplines. Reports issues following the chain of command

Requirements

  • Graduate of an accredited registered nursing program, upon hire
  • High School GED, upon hire
  • Registered Nurse: CA, upon hire
  • Basic Life Support - CPR, upon hire
  • Driver's License: CA, upon hire
  • Auto Insurance, upon hire

Nice To Haves

  • Home health experience

Responsibilities

  • Coordinate the care and services of patients across the continuum of illness.
  • Promote effective utilization of health care resources.
  • Monitor health care resources.
  • Assume a leadership role with the interdisciplinary team to achieve optimal outcomes through the tools of case management.
  • Perform a wide variety of high-level patient care activities including admission assessment, screening for appropriateness, and development of a discharge plan.
  • Evaluate the patient's post-discharge needs and the provision of services necessary to meet those needs to ensure timely and appropriate discharges.
  • Utilize the nursing process to provide safe therapeutic physician ordered care for patients.
  • Assess patient condition at each visit, noting significant changes.
  • Conduct Outcome and Assessment Information Sets and other required tools at appropriate timeframes.
  • Develop a patient-specific plan of care in collaboration with the patient and physician.
  • Coordinate timely and accurate preparation of the plan of treatment and recertifications.
  • Make recommendations that may improve the patient's quality of life.
  • Oversee or carry out the treatment plan.
  • Perform physician-ordered tasks, maintaining principles of infection control.
  • Treat patients, family members, and caregivers with dignity, courtesy, and respect.
  • Regularly evaluate the needs of the patient.
  • Evaluate patient's progress to goals and prepare the patient for discharge.
  • Complete discharge planning in collaboration with patient, physician, other nurses, social worker, and other health care workers as applicable.
  • Participate in patient care conferences.
  • Assist with coordination of patient-care activities/scheduling.
  • Collaborate/cooperate to ensure effective consistent management of patients.
  • Ensure care coordination occurs with all applicable disciplines.
  • Report issues following the chain of command.
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