Case Manager PRN Days

Socket.dev; Santa Ana (CA); On-site; USD 45,000 - 57,000; Full time

Job summary

Kindred Hospital Santa Ana seeks a Care Coordination professional to facilitate patient care across the ICT team and ensure optimal resource use from admission through discharge. You will support care planning, alignment with physicians and payors, and advocate for patient needs in a complex hospital setting.

Requirements include RN/LPN or MSW/Bachelor with licensure as regulated, plus at least 1 year in healthcare; strong communication and Microsoft Office skills are essential.

Qualifications

• Must read, write and speak fluent English.
• Licensed healthcare professional (LPN/LVN, RN) or MSW/Bachelor with licensure as required by state regulations.
• Experience: at least 1 year in a healthcare setting; case management/discharge planning experience a plus.

Responsibilities

• Coordinate clinical and psycho-social activities with Interdisciplinary Team and Physicians.
• Assist with care coordination and efficient care facilitation.
• Refer high-risk patients for additional support; advocate for patients.
• Participate in interdisciplinary rounds or conferences; collaborate on plans of care.

Skills

Fluent English

Microsoft Office

Interpersonal communication

Care coordination

Education

LPN/LVN or RN

Master of Social Work

Bachelor of Social Work

Tools

Microsoft Word

Spreadsheets (Excel)

Job description

Kindred Hospital Santa Ana is a long-term acute care hospital offering the same in-depth care you would receive in a traditional hospital, but for an extended recovery period. We partner with your physician and offer 24-hour clinical care seven days a week so you can start your journey to wellness. We are conveniently located between the Santa Ana Freeway I-5 and Santiago Creek and the close to many shops and restaurants.

Job Summary

Coordinates and facilitates the care of the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team members. Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs. Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning.

Essential Functions

Care Coordination

• Assist in coordinating clinical and/or psycho-social activities with the Interdisciplinary Team and Physicians.
• Assists with effective care coordination and efficient care facilitation.
• Remains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care.
• Appropriately refers high risk patients who would benefit from additional support.
• Serves as a patient advocate.
• Knowledgeable of the principles of growth and development over the life span and the skills necessary to provide age-appropriate care to the patient population served.
• Participates in interdisciplinary patient care rounds and/or conferences.
• Collaborates with clinical staff in the execution of the plan of care, and achievement of goals.

Knowledge/Skills/Abilities/Expectations

• Knowledge of government and non-government payor practices, regulations, standards and reimbursement.
• Knowledge of Medicare benefits and insurance processes and contracts.
• Knowledge of accreditation standards and compliance requirements.
• Must read, write and speak fluent English.
• Basic computer skills with working knowledge of Microsoft Office, word-processing and spreadsheet software.
• Excellent interpersonal, verbal and written skills in order to communicate effectively and to obtain cooperation/collaboration from hospital leadership, as well as physicians, payors and other external customers
• Demonstrates good interpersonal skills when working or interacting with patients, their families and other staff members.
• Must have regular attendance.
• Approximate percent of time required to travel, 0%25.
• Performs other related duties as assigned.

Pay Range: $45K-$57K/yr.

ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness.

Education

• Graduate of an accredited program required: LPN/LVN or RN.
• Master of Social Work with licensure as required by state regulations; or Bachelor of Social Work with licensure as required by state regulations.

Licenses/Certification

• Healthcare professional licensure required as LPN/LVN, Registered Nurse, or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations.

Experience

• One year of experience in healthcare setting.
• Experience in case management, utilization review, or discharge planning a plus.