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Registered Nurse Case Manager Part Time Evening

Job ID: 2205007139 Date posted: 02/17/2022 Facility: Los Alamitos Medical Center
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We know it takes a special person to be a nurse, and we are committed to providing our nurses with an enriching and rewarding environment. We provide the resources, tools and support our employees need to serve our patients and customers in the best way possible — so we can provide the right care, in the right place, at the right time, and do so with compassion.

  • Evening
  • No travel

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Success Profile

What makes a successful Nurse at our location?
Check out the top traits we’re looking for and see if you have the right mix.

  • Innovative
  • Collaborative
  • Resourceful
  • Advocate
  • Person-centered
  • Critical thinker

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Benefits

  • Medical
  • Paid Time Off
  • Dental
  • 401(k)
  • Tutition
    Reimbursment
  • Life and
    Disability
    Insurance

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Responsibilities

Up to $5,000 Sign-On bonus based on experience

Los Alamitos Medical Center is a 172-bed acute-care facility serving the residents of Orange County.

Los Alamitos Medical Center serves the Orange County and great Long Beach areas. Specializations include a dedicated outpatient facility that houses cancer, imaging, and infusion centers, a bi-plane catheterization lab, robot-assisted surgery capabilities, an Orthopedic Destination Center and radiation oncology physician services provided by UCLA Health. Awards and distinctions include the American Stroke Association Get With the Guidelines Gold+ Performance Achievement Award for Stroke with Honor Roll Elite Plus and Target: Type 2 Diabetes Honor Roll and a Comprehensive Stroke Center designation by DNV-GL.

We offer competitive salaries and benefits including a matching 401(k), several health & dental plans to choose from, generous tuition assistance plans, and relocation assistance for select positions.

Summary

The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right to self-determination.

The individual in this position has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to promote timely throughput, safe discharge and prevent avoidable readmissions.

This position integrates national standards for case management scope of services including:

  • Utilization Management supporting medical necessity and denial prevention
  • Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction
  • Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care
  • Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy
  • Education provided to physicians, patients, families and caregivers

Responsibilities

The individual’s responsibilities include the following activities:

  • Accurate medical necessity screening and submission for Physician Advisor review,
  • Care coordination,
  • Transition planning assessment and reassessment,
  • Implementation or oversight of implementation of the transition plan,
  • Leading and facilitating multi-disciplinary patient care conferences,
  • Managing concurrent disputes,
  • Making appropriate referrals to other departments, h) identifying and referring complex patients to Social Work Services,
  • Communicating with patients and families about the plan of care,
  • Collaborating with physicians, office staff and ancillary departments,
  • Leading and facilitating Complex Case Review,
  • Assuring patient education is completed to support post-acute needs,
  • Timely complete and concise documentation in Case Management system, n) maintenance of accurate patient demographic and insurance information,
  • Identification and documentation of potentially avoidable days,
  • Identification and reporting over and underutilization,
  • And other duties as assigned


Qualifications:

Education

Preferred: Bachelor of Science in Nursing (BSN)

Experience

Required: Two (2) years acute hospital patient care experience.
Preferred: Acute hospital case management experience.

Certifications

Required: Active Registered Nurse license.
Preferred: Accredited Case Manager (ACM)

#LI-KA1

Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

Job: Case Management/Home Health
Primary Location: Los Alamitos, California
Facility: Los Alamitos Medical Center
Job Type: PT1
Shift Type: Evening
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