Registered Nurse Case Manager; RN

Registered Nurse Case Manager (RN)

Join to apply for the Registered Nurse Case Manager (RN) role at Desert Regional Medical Center
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Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Desert Regional Medical Center hospital, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note:

Eligibility for benefits may vary by location and is determined by employment status.

Priority 1:
Coordination of clinical care (medical necessity, appropriateness of care and resource utilization for admission, continued stay, discharge and post-acute care) compared to evidence-based practice, internal and external requirements. (40% daily, essential).

Priority 2:
Identify and report variances in appropriateness of medical care provided, over/under utilization of resources compared to evidence-based practice and external requirements. This priority includes work with relevant software and communicating information through clear, complete and concise documentation in eCCM (40% daily, essential).

Priority 3:
Effective collaboration with physicians, nurses, ancillary staff, payors, patients and families to achieve optimum clinical outcomes (10% daily, essential).

Priority
4. Remain current with relevant clinical/case management practices. (10% daily, essential).

The individual in this position has overall responsibility for overseeing the clinical plan of care to conform to evidence-based practice and regulatory requirements. This position integrates care coordination, utilization management, and discharge planning.

The individual’s responsibilities will include, but not be limited to the following activities:

• Medical necessity screening
• Care coordination
• Discharge planning
• Facilitating multidisciplinary patient care conferences
• Managing concurrent disputes
• Making appropriate referrals to other departments (e.g., nutrition, PT/OT/ST)
• Referring complex social issues to Social Service
• Communicating with patients and their families about the plan of care
• Collaborating with physicians, office staff and ancillary departments (e.g., lab, pharmacy)
• Participating in weekly Complex Case Review
• Arranging for post- discharge patient education
• Clear, complete and concise documentation in eCCM
• Maintaining accuracy of patient demographic and insurance information
• Identifying and documenting potentially avoidable days
• Identifying and reporting over and under utilization
• Other duties as assigned

Attends hospital workshop led by the Director of Case Management or designee that includes the Tenet Case Management Model, Inter Qual, Discharge Planning, Utilization Management, and other topics specific to case management. Extended orientation with selected Case Managers may occur.

Information used to perform job: patient data, healthcare staff documentation related to patient care, regulatory and payor requirements.

Software used to perform job: eCCM:
Clinical data interface, Inter Qual, Case Management documentation, secure faxing, Avoidable Day tracking, Patient Medical Record and HPF, Hospital specific Clinical Software.

Current California RN license.

• Minimum 2 Years Of Acute Case Management Experience
• Minimum 5 years bedside experience or 10 years in the relevant clinical specialty
• Excellent organizational skills
• Excellent verbal and written communication skills
• Ability to lead and coordinate activities of a diverse group of people
• Demonstrated critical thinking and problem solving skills
• Computer literate

Case Managers hired prior to August 2009 are grandfathered in with the same performance expectations.

B.S.N. preferred.

Shift: Days

Job type:
Full Time

Hours:

Up to $25,000.00 Sign on Bonus for Qualified Candidates.

Palm Desert, CA: $-$

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

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