RN Case Manager

Job Title: RN Case Manager

Job Location:

Oakland, CA
Pay Rate: $2,939 Weekly | $74/Hour (blended pay)
Duration: 13 Weeks
Shift: Day 5x8-Hour (08:00 - 16:30)

Description:
Case Manager RN Needed with 5+ experience
Responsible for Care Coordination and Care Transitions Planning throughout the acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely progression and transition of patients to the appropriate level of care to prevent unnecessary admissions or readmissions. The Care Management process encompasses communication and facilitates care across the continuum through effective resource coordination.

The goals of this role are to include the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self –determination while coordinating in a timely and integrated fashion. He/She collaborates with patients, families, physicians, the interdisciplinary team, nursing management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and community resources.

If assigned to the Emergency Department, the Care Management process is to address complex clinical and social situations efficiently in order to avoid unnecessary admissions.

Responsibilities:
Reviews initial physician admission care plan. Gathers additional medical, psychosocial, and financial information from the patient/family interview, medical record assessment, physicians, and other health care providers. Determines moderate or high risk level for readmission. Conducts a screening for ancillary supportive services, including but not limited to Palliative Care Services’ needs. Reviews medical record to ensure patient continues to meet level of care (LOC) requirements and that chart documentation supports LOC determination and assignment.

Works with Attending Physicians to confirm necessary documentation to support level of care (LOC). Expedites transition planning for patients who no longer require acute level of care.

Requirements:
5+ Years of RN Case Management experience
CA RN License
BLS - AHA
EPIC
Every Other Weekend

Mandatory Skill:
5+ Years of RN Case Management experience