Hospital LVN Case Manager

Healthcare Support Staffing; Moreno Valley (CA); On-site; USD 65,000 - 90,000; Full time

Job summary

A leading healthcare staffing firm in Moreno Valley, California is seeking a professional to coordinate and monitor patients through their hospitalization process. This role requires 2 years of recent experience in an acute care facility and the ability to evaluate medical records. The ideal candidate will assist in resolving problems regarding admissions and ensure proper discharge planning in collaboration with a multidisciplinary team. This position offers an opportunity to make a significant impact on patient care within a prestigious organization.

Qualifications

• 2 years of recent experience in an acute care facility required.
• Ability to evaluate the medical records of hospital admissions is mandatory.
• Primary Source Online Verification is required.

Responsibilities

• Coordinate and monitor patients through hospitalization.
• Assist in identifying and resolving admission problems.
• Act as a resource for medical record documentation.
• Review post-hospital care plans with patients/families.
• Utilize community services for optimal discharge planning.
• Answer questions regarding covered and non-covered services.

Skills

Medical record evaluation

Patient discharge planning

Communication with medical staff

Job description

Job Description

• Coordinates and monitors patients through the hospitalization process utilizing physicians, primary care nurses, and third party payors to maintain quality care and fiscal responsibility.
• Assists the admitting department in identifying and resolving problems regarding appropriate admissions.
• Acts as a resource/advisor to physicians for adequate medical record documentation, appropriateness of facility services as they relate to diagnoses, and options for post-discharge care.
• Reviews the post hospital care plan with the patient/family. Establishes a contract regarding time frames and responsibilities. Follows plan through to discharge.
• Utilizes community services to provide optimal discharge planning, monitors/expedites timely completion of services to avoid delays in care or discharge, facilitates third party reimbursement approval and/or authorization, conducts post discharge activities and documentation, and is responsible for completion and interpretation of patient statistical reporting.
• Coordinates with multi-disciplines to include Dietary, Physical Therapy, Occupational Therapy, Speech, Social Services, Infection Control, etc., to ensure efficient use of hospital resources.
• Answers questions from patients, families, and providers regarding reimbursement of covered and non-covered services.

Qualifications

• Primary Source On-line Verification‑Required (verify license online and upload)
• 2 years of recent experience in an acute care facility‑Required
• Ability to evaluate the medical records of hospital admissions—required

All your information will be kept confidential according to EEO guidelines.