SRS - Case Manager - RN - Per Diem - Variable Shift

External

Sharp · San Diego, CA

Part-timeOn-siteToday

AWSCernerClassificationComplianceSAFe

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Responsibilities

Required Qualifications
Bachelor's Degree in Nursing
3 Years acute care nursing experience or case management experience
3 Years recent case management, utilization review, care coordination experience

Requirements

Master's Degree in Nursing

Certified Case Manager (CCM) - Commission for Case Manager Certification -PREFERRED

Essential Functions

Professional development

The SRS RN CM II 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 SRS RN CM II 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 SRS RN CM II will assure that the patients from all age groups proceed efficiently through the course of hospitalization and beyond through the continuum of care.

The SRS RN CM II 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 SRS RN CM II performs other duties as needed.

Organizational relationships

The SRS RN CM II will recommend and document patient classification (status and level of care) for all admissions utilizing established criterion sets.

The SRS RN CM II has accountability for maintaining compliance contractual and regulatory compliance with medical groups as applicable and the hospital.

The SRS RN CM II 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 SRS RN CM II will interview each patient/family for anticipated needs post hospitalization. The plan and interventions will be documented in the EMR (e.g., Cerner), and case management software (e.g., Allscripts).

The SRS RN CM II will develop and document a plan for the day and plan for the stay with patient, family, providers, and nursing staff.

The SRS RN CM II will be responsible for leading the daily care coordination (multidisciplinary) rounds, update the plan, and facilitate necessary coordination of services.

The SRS RN CM II will document and initiate discharge plan including early referrals and authorization for SNF, Rehab, homecare, DME and infusion services.

The SRS RN CM II will prepare patient/family for discharge. Document expected discharge date per protocol and arrange discharge pick up appointment with family or significant other.

In collaboration with SW partner, the SRS RN CM II will follow standards for routine patient/family conference.

The SRS RN CM II will ensure effective and safe patient handovers to next level of care; work closely with ambulatory care manager (ACM) at the system level, in clinics, and homecare and sub-acute liaisons.

The SRS RN CM II will support the nursi

SRS - Case Manager - RN - Per Diem - Variable Shift

Responsibilities

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