Registered Nurse - Care Manager; Home Health

Position: Registered Nurse - Care Manager (Home Health)
Day Shift 5 x 8; 8/8:30 to 4:30/5:00 Interqual, case management, SNF placement, insurance authorization, and Power chart.

Experience with difficult soci-economic pts, homelessness, and substance use/abuse experience highly desirable.

Job Summary Exempt:
No Collaborates with the patients and their families, the patient?s physicians, and care providers in coordinating the care of the patient, utilizing skills of advocacy, communication, management of fiscal and material management, regulatory compliance, and education. Identifies, facilitates and coordinates the appropriate services, resources, providers and facilities throughout the continuum of care. Acts as a liaison with physician(s) to assure all covered aspects of treatment are fully documented and ensure patients receive timely, appropriate care during their hospitalization.

This position is represented by RCHEA.? Standards of Behavior Line of Responsibility and Authority LINE OF AUTHORITY:
Case Manager-RN - Case Management Director Licenses and Certifications Professionalism and Self-Development Education and Qualifications

EDUCATION AND EXPERIENCE:

Graduate from a BRN approved school of registered nursing; BSN preferred

EDUCATION AND EXPERIENCE:

Minimum of three years of clinical nursing experience:
Preferred LICENSES OR

CERTIFICATIONS:

BLS Certification following American Heart Association guidelines required (no other cards accepted) LICENSES OR

CERTIFICATIONS:

Certified Professional in Healthcare Quality (CPHQ) or Certification in Case Management (CCM):
Preferred LICENSES OR

CERTIFICATIONS:

Current California RN license required

QUALIFICATIONS:

Able to organize and maintain good follow-up

QUALIFICATIONS:

Able to work independently with minimal supervision

QUALIFICATIONS:

Excellent human relations and oral/written communications skills

QUALIFICATIONS:

Knowledge of current utilization/ continuing care principles, techniques, and procedures

Physical Requirements /Work Environment/Use of Senses and Communications Skills ACCOMMODATIONS:
The physical demands and work environment characteristics described here are representative of those an employee typically encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the key responsibilities and essential functions CONFIDENTIALITY:
Employee must conform with all HIPAA and other confidentiality regulations as required by the job, department, or hospital EQUIPMENT USED:
Cell phone and pager EQUIPMENT USED:
General office equipment, including computer, printer, calculator, copy machine and other office equipment

PHYSICAL REQUIREMENTS (b):
This job requires frequent bending, squatting, kneeling, climbing, reaching above shoulders, sitting, walking inclines and declines, standing, talking, hearing, and performing repetitive hand motions. Vision requirements include close vision and the ability to adjust focus. The employee will occasionally pull, lift, transfer, or push a patient side to side, to a sitting position, to a standing position, or laterally. The employee must demonstrate a pull lift of 50 pounds from the floor.

POTENTIAL EXPOSURE TO BLOOD & BODY FLUIDS:
Category 2 for potential exposure to blood/body fluids. (Does not usually require the performance of procedures or other tasks in the work routine that involve exposure to blood, body fluids or tissues, but Category 2 tasks may require the unexpected performance of these procedures.)

Job Role s RN, Care Manager (AHCL) Appropriately delegates tasks and duties when directing and coordinating health care team members, patient care and activities. Assures completion of utilization review and management, including quality review, and case review for all third party payorsincluding Medicare and Medi-Cal. Collaborates with the patient, responsible party/caregiver, nurse and attending physician in discharge planning and case management.

Conducts initial review early in acute care admission on the identified targeted patient population for appropriateness of hospitalization. Monitors appropriate LOS on acute unit for identified patient population. Assures patient…