RN - Lead Care Manager Day Shift

Job Description

Adventist Health White Memorial Montebello is a 70‑year‑old hospital with 192 beds and a range of services including wound care, surgery, and laboratory services.

Provides excellent patient care by collaborating, developing, implementing, revising, and reporting on the case management program. Acts as a liaison among the patient, family, nurses, physicians, the multidisciplinary team, and the patient's healthcare benefactor to optimize outcomes. Serves as a consultant to the healthcare team on specific patient items.

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

• Registered Nurse (RN) licensure in the state of practice:
  Required
• Case management certification:
  Preferred

• 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 ED utilizers, chronic pain patients, substance abuse patients, homeless patients. Collaborates with acute care case managers to ensure appropriateness on‑going 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 ED visitors by conducting a focus study review of the previous and current admissions.
• Performs other job‑related duties as assigned.