Case Manager RN

San Antonio Regional Hospital; Upland (CA); Sur place; USD 147 797 000 - 221 668 000; Plein temps

Résumé du poste

San Antonio Regional Hospital in California seeks a Registered Nurse to evaluate patients' clinical status, determine medical necessity for hospitalization, and plan transitions of care within a multidisciplinary team.

The ideal candidate has California RN licensure, 3 years of acute hospital experience, and a background in discharge planning or case management. AHA BLS is required; strong prioritization and documentation skills are essential.

Qualifications

• Graduate of a nursing program resulting in RN licensure.
• Three years’ acute hospital experience preferred; 1–2 years for Per Diem positions.
• Knowledge of common disease processes and reimbursement methodologies.
• Current California RN licensure and AHA BLS card required.

Responsabilités

• Evaluate patients’ clinical status to determine medical necessity for hospitalization.
• Assess clinical progression and continued acute care needs for safe transitions of care.
• Coordinate with care teams and discharge planning to optimize patient flow.

Connaissances

Nursing knowledge

Prioritization

Communication

Formation

RN licensure

Outils

EMR systems

Word

Description du poste

Job Summary

Evaluates the clinical status of patients using evidence based criteria to determine medical necessity for hospitalization, clinical progression and continued acute care needs. Utilizes information about clinical condition, prior level of functioning and anticipated treatment plan to support a safe, smooth transition to other levels of care.

Overview

Evaluates the clinical status of patients using evidence based criteria to determine medical necessity for hospitalization, clinical progression and continued acute care needs. Utilizes information about clinical condition, prior level of functioning and anticipated treatment plan to support a safe, smooth transition to other levels of care.

Minimum Qualifications

Education: Graduate of a nursing program, leading to RN licensure.

Experience: Three years’ acute hospital experience preferred. Experience in utilization review, discharge planning and/or case management is preferred. For Per Diem positions 1-2 years previous acute inpatient adult case management experience is required.

Knowledge and Skills: Knowledge of common disease processes, knowledge of health care delivery systems, demonstrates understanding of common reimbursement methodologies. Able to manage competing priorities and effectively prioritizes work.

License and Certifications: Current RN licensure in the State of California and a current American Heart Association (AHA) BLS card are required.

Equipment: Basic computer skills with working knowledge of Word. Willingness to learn all aspects of the Business Services, Case Management, Emergency Department and hospital wide electronic medical record systems.

Physical Requirements: Must be able to perform the essential physcial requirements of the job as noted in the job description.

Pay Range

$51.58 - $77.36

The posted pay range reflects the lowest to highest pay that was available for this position at the time of posting and may be subject to change. Salary offers are determined by candidate’s relevant experience and skills. For per diem positions, a standard rate is used based on market data and not the candidate’s individual experience.