Required Qualifications 2 Years Recent acute care nursing experience, case management experience or equivalent experience in the healthcare setting.
California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED
Preferred Qualifications Bachelor's Degree in Nursing or equivalent degree.
Master's Degree
Certified Case Manager (CCM) - Commission for Case Manager Certification -PREFERRED
Accredited Case Manager (ACM) - American Case Management Association (ACMA) -PREFERRED
Essential Functions
Professional development
The RN CM I will:
Actively participates in the performance-planning, competency and individual development planning process.
Maintain current knowledge of case management, utilization management, and discharge planning, as specified by Sharp, federal, state, and private insurance guidelines.
Core principles
The RN CM I will make timely referrals to ensure that the patient is receiving the appropriate care, in the appropriate setting and using the appropriate utilization standards as set by community and professional standard as adopted by the medical staff.
The RN CM I will assure that the patients from all age groups proceed efficiently through the course of hospitalization and beyond through the continuum of care.
The RN CM I will relate and communicate positively, effectively, and professionally with others; be assertive and consistent in following and/or enforcing policies; work calmly and respond courteously when under pressure; lead, supervise, teach, collaborate and accept direction.
The RN CM I performs other duties as needed.
Organizational relationships
The RN CM I will recommend and document patient classification (status and level of care) for all admissions utilizing established criterion sets.
The RN CM I has accountability for maintaining compliance contractual and regulatory compliance with medical groups as applicable and the hospital.
The RN CM I will have excellent interpersonal skills demonstrated by the ability to work effectively with individuals and or teams across disciplines.
Care coordination and discharge planning
Within 24 hours of admission the RN CM I will interview/assess each patient/family for anticipated needs post hospitalization.
The RN CM I will ensure patient choice is obtained and documented in accordance with all state and federal regulatory requirements.
The plan and interventions will be documented in the electronic medical record (EMR), and case management software.
The RN CM I will develop and document a plan for the day and plan for the stay with patient, family, providers, and nursing staff.
The RN CM I will be responsible for leading the daily care coordination (multidisciplinary) rounds, update the plan, and facilitate necessary coordination of services.
The RN CM I will document and initiate discharge plan including early referrals and authorization for LTAC, SNF, Rehab, homecare, DME and infusion services.
The RN CM I will pr
Benefits
Health insurance
Additional Information
Hours :
Shift Start Time:
8 AM Shift End Time:
4:30 PM
AWS Hours Requirement:
8/80 - 8 Hour Shift
Additional Shift Information:
Weekend Requirements:
As Needed
On-Call Required:
No
Hourly Pay Range (Minimum - Midpoint - Maximum):
$61.740 - $70.170 - $90.160
The stated pay scale reflects the range as defined by the collective bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network, United Nurses Associations of California/Union of Health Care Professionals, NUHHCE, AFSME, AFL-CIO. Placement within the range is based on years of RN experience.
Sharp · LA Mesa, CA