Registered Nurse Case Manager

Job Description

You, as the Registered Nurse Case Manager will be held responsible for ensuring the continuity of care in both the inpatient and outpatient setting utilizing the appropriate resources within the parameters of established contracts and patients’ health plan benefits. Facilitates continuum of patients’ care utilizing advanced nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management functions telephonically as the need arises. Reports finding to the Care Management department Supervisor / Manager / Director in a timely manner.

• Implements and monitors current medical group care management programs within the policies and procedures set by the Care Management department.
• Conducts on-site prospective, concurrent and retrospective review of active patient care, including out-of-area and transplant.
• Reviews patients’ clinical records of acute inpatient within 24 hours of notification.
• Reviews patient referrals within the specified care management policy timeframe (Type and Timeline Policy).
• Coordinates treatment plans and discharge expectations and discusses DPA and DNR status with attending physician.
• Prioritizes patient care needs and meets with patients, patients’ family and caregivers as needed to discuss care and treatment plan.
• Identifies and assists with the follow-up of high-risk patients in acute care settings, skilled nursing facilities, custodial and ambulatory settings.
• Consults with physician and other team members to ensure that care plan is successfully implemented.
• Coordinates provisions for discharge from facilities including follow-up appointments, home health, social services, transportation, etc., in order to maintain continuity of care.

Additional Details regarding the Job:

These RN’s will have a key focus on discharging patients.

Qualifications

• Bachelor’s of Science in Nursing [BSN]
• Active California RN license
• 3+ years of clinical experience in any healthcare setting [prefers acute nursing in critical care]
• Previous care management, utilization review or discharge planning experience

Additional Information

Pay Rate: $40/hr. - $43/hr.

Hours for this Position:

• Shift: Monday-Friday 8-5

Advantages of this Opportunity:

• Competitive salary
• Fun and positive work environment
  
• Medical benefits offered

Company Description

Why You Should Work For Us:

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!