RN - Case Mgmt.

V R Della Infotech•Simi Valley, CA

About The Position

Provides excellent patient care by assisting with the collaboration, development, implementation, revision, and reporting of the case management program. Acts as a liaison among the patient, family, nurse, physicians, multidisciplinary team, and the patient's healthcare benefactor to optimize outcomes. Serves as a consultant to the healthcare team on specific patient matters. Coordinates a continuum of care for a defined patient population from pre-admission through post-discharge and helps patients and families proceed efficiently through hospitalization. This position supports an EPIC conversion and is an EPIC backfill role. It is a day-shift position, 40 hours per week, scheduled as eight-hour shifts across five days. The listed start date is firm, and no requests for time off are allowed. Recent EPIC experience within the last 12 months is required, as is EPIC and Cerner experience within the last five years. Candidates must have worked as an employee of an organization or successfully completed a contract. Work history entries must identify the charting system used; if multiple EMR systems are listed for one job, dates must clarify when each system was used.

Requirements

  • Registered Nurse (RN) licensure in the state of practice is required.
  • EPIC and Cerner experience within the last five years.
  • Recent EPIC experience within the last 12 months.
  • Must have worked as an employee of an organization or successfully completed a contract.
  • Each work history entry must list the charting system used; when multiple EMR systems are listed for one job, dates must clarify when each system was used.

Nice To Haves

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

Responsibilities

  • Lead coordination of patient care with other disciplines within the care team, monitoring the appropriateness and timeliness of care.
  • Ensure the interdisciplinary care plan is consistent with the patient's clinical course, continuing care needs, and covered services by monitoring diagnostic testing, treatments, procedures, and other aspects of acute patient care.
  • Discuss with physicians the appropriateness of resource utilization, consultations, treatment plans, estimated length of stay, and discharge plans.
  • Focus on complex patients, frequent emergency department utilizers, chronic pain patients, substance abuse patients, and homeless patients.
  • Collaborate with acute care case managers to ensure the appropriateness of ongoing care.
  • Coordinate transfers of patients to tertiary centers, including transfer of patient 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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