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Case Manager RN PerDiem OnCall

Twin
Cities Community Hospital is located within the Central Coast Wine Country and
in the beautiful community of Templeton, California. The hospital is a 122-bed
acute care hospital which includes a diagnostic center and birth center. We are
proud of our facilities, our technology and, most of all, proud of the
expertise in delivering high-quality, efficient care. Excellent career
opportunities exist for nursing and other healthcare professionals to make a
difference in the quality of people?s lives and in the community. Motivation
and job satisfaction are high due to a team oriented atmosphere where both new
and experienced employees are encouraged to share their own ideas. The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient?s resources and right to self-determination. The individual in this position has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to promote timely throughput, safe discharge and prevent avoidable readmissions. This position integrates national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention
Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction
Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care
Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy
Education provided to physicians, patients, families and caregivers The individual?s responsibilities include the following activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c) transition planning assessment and reassessment, d) implementation or oversight of implementation of the transition plan, e) leading and facilitating multi-disciplinary patient care conferences, f) managing concurrent disputes, g) making appropriate referrals to other departments, h ) identifying and referring complex patients to Social Work Services, i) communicating with patients and families about the plan of care, j) collaborating with physicians, office staff and ancillary departments, k) leading and facilitating Complex Case Review, l) assuring patient education is completed to support post-acute needs , m) timely complete and concise documentation in Case Management system, n ) maintenance of accurate patient demographic and insurance information, o) identification and documentation of potentially avoidable days, p) identification and reporting over and underutilization, q) and other duties as assigned.
Qualifications:
EDUCATION / TRAINING / EXPERIENCE / SKILLS: Required: Graduate of a nursing program 5+ years experience in an acute care setting with 2+ years patient care experience Demonstrated organizational skills Excellent verbal and written communication skills Ability to lead and coordinate activities of a diverse group of people in a fast paced environment Critical thinking and problem solving skills Preferred: Recent experience in acute care hospital case management Experience in utilization review, discharge planning and/or home health BSNAccredited Case Manager (ACM) Acute hospital case management experience REQUIRED LICENSE: Current California RN License SKILLS / KNOWLEDGE / ABILITIES : Communication is an essential skill requiring the ability to see, hear, and speak. Fluent in written and spoken English. Must have computer skills on desktop and laptop and be able to assimilate new programs. Must be able to fulfill the essential functions of the position. Job: Case Management/Home Health Primary Location: Templeton, California Facility: Twin Cities Community Hospital Job Type: PT2N Shift Type: Days

Employment practices will not be influenced or affected by an applicant?s or employee?s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.




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