LosAngelesRecruiter
the smart solution for Los Angeles jobs

RN, Case Manager, Outpatient

Company: DaVita Medical Group
Location: Long Beach
Posted on: February 16, 2019

Job Description:

OVERVIEW OF POSITION:

HealthCare Partners, A DaVita Medical Group is seeking a RN to join our Ambulatory case management team in Long Beach, CA.

Primary hours would be Monday- Friday 8AM-5PM.

Responsible for ensuring the continuity of care in both the inpatient and outpatient setting utilizing the appropriate resources within the parameters of established contracts and patients' health plan benefits. Facilitates continuum of patients' care utilizing advanced nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management functions on-site or telephonically as the need arises. Works in conjunction with the care team and PCP as care team leader. Ensures evaluation is in alignment with site based goals.

ESSENTIAL FUNCTIONS:

* Prioritizes patient care needs upon initial visit and addresses emerging issues.
* Meets with patients, patients' family and caregivers as needed to discuss care and treatment plan.
* Identifies and assists with the follow-up of high-risk patients in acute care settings, skilled nursing facilities, custodial and ambulatory settings.
* Consults with physician and other team members to ensure that care plan is successfully implemented.
* Coordinates treatment plans with the care team and triages interventions appropriate to the skill set of the team members.
* Uses protocols and pathways in line with established disease management and care management programs and approved by medical management in order to optimize clinical outcomes.
* Monitors and coaches patients using techniques of motivational interviewing and behavioral change to maximize self-management.
* Oversees provisions for discharge from facilities including follow-up appointments, home health, social services, transportation, etc., in order to maintain continuity of care.
* Works in coordination with the care team and demonstrates accountability with patient management and outcome.
* Discusses Durable Power of Attorney (DPoA) and advanced directive status with PCP when applicable.
* Maintains effective communication with the physicians, hospitalists, extended care facilities, patients and families.
* Provides accurate information to patients and families regarding HMO benefits, community resources, referrals and other related issues.
* Participates actively in assigned Care Management Coordination Committee (CMCC) meetings.
* Documents pertinent patient information and Care Management Plan in Electronic Health Record and Care Management Systems as appropriate.
* Coordinates care with central departments on assigned patient caseload, including out-of-area, inpatient central and transplant.
* Demonstrates a thorough understanding of the cost consequences resulting from Care Management decisions through utilization of reports and systems such as Health Plan Benefits, Division of Financial Responsibility (DOFR), utilization of metrics and CM reports.
* Adheres to departmental policies and procedures as approved by Office of the Medical Director (OMD) Quality Committee.
* Uses, protects, and discloses HCP patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
* Performs additional duties as assigned.

EDUCATION:

* Bachelor's degree from a four-year college and/or a professional certification requiring formal education beyond a two-year college.
* Graduation from an accredited school of Nursing.
* California RN license.
* Bachelor's degree in Nursing preferred.
* Basic Life Support for Healthcare providers (AHA) or CPR/AED for the Professional Rescuer (American Red Cross).

EXPERIENCE:

Minimum:

* Over 3 years and up to and including 5 years of experience in clinical setting demonstrating the ability to assess, document and implement the nursing care plan.
* Past clinical experience.

Preferred:

* 3 to 5 years of acute nursing experience in critical care.
* Previous care management, utilization review or discharge planning experience.
* HMO experience.

KNOWLEDGE, SKILLS, ABILITIES:

* Computer literate.
* Ability to type 25 wpm.
* Knowledge of current standards of patient care.
* Thorough understanding of RN scope of practice.
* Manual dexterity to use/handle equipment and instruments.
* Ability to effectively communicate and collaborate with physicians, patients, families and ancillary staff.
* Ability to make sound, independent judgments and act professionally under pressure.
* Valid California driver's license, insurance and vehicle for work-related travel.

Keywords: DaVita Medical Group, Los Angeles , RN, Case Manager, Outpatient, Healthcare , Long Beach, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Healthcare Jobs


RN-Telemetry (12:01 AM-11:59 PM)
Description: Call today to speak with a recruiter,
Company: Convergence Medical Staffing
Location: Palm Springs
Posted on: 02/16/2019

Speech Language Pathologist job in Palm Springs, CA
Description: TaleMed is one of the fastest-growing travel agencies in the
Company: TaleMed
Location: Palm Springs
Posted on: 02/16/2019

Physical Therapist (PT) (Pediatric Early Start Program Home-Based Clinician)
Description: Every Child Achieves ECA is passionate about changing the world one child at a time, and through that vision, we are expanding. ECA currently has a rewarding employment opportunity for a licensed Pediatric (more...)
Company: Every Child Achieves & Wellness Works
Location: Altadena
Posted on: 02/16/2019


Outpatient - no OB - Family Medicine in beautiful California
Description: Family Practice-Without OB opening in Palm Springs, California. This and other physician jobs brought to you by DocCafe.com Employer is actively seeking a board certified Family Medicine physician to (more...)
Company: Tenet Healthcare
Location: Palm Springs
Posted on: 02/16/2019

Clinical Lab Scientist I Per Diem Rotate
Description: Since 1972, Placentia-Linda Hospital has expanded right along with north Orange County. As our communities grow, we continue to offer a full range of medical services to meet your family s needs. One (more...)
Company: Placentia-Linda Hospital
Location: Placentia
Posted on: 02/16/2019

RN ICU Per Diem Days
Description: Facility Overview: Desert Regional Medical Center is a 385 bed acute-care hospital classified as a stroke receiving center and level 2 trauma facility with an innovative , patient centered and evidence-based (more...)
Company: Desert Regional Medical Center
Location: Palm Springs
Posted on: 02/16/2019

Travel RN-Endoscopy (RN #)
Description: Specialty: RN-Endoscopy-TravelLocations: Palm Springs, CaliforniaShift: 8A to 4PDuration: 13 weeksStart Date: ASAPJob Details ul li Endoscopy Nurses assist specialists when endoscopy is being performed (more...)
Company: All Medical Personnel, LLC
Location: Palm Springs
Posted on: 02/16/2019

Physician / Hospitalist / California / Permanent / Permanent Fulltime
Description: We are recruiting for a DAY hospitalist in the Inland Empire Well respected, large multi-specialty group near Palm Springs needs a Hospitalist to add to their team. Manage the
Company: CompHealth
Location: Palm Springs
Posted on: 02/16/2019

Travel RN-NICU
Description: Critical Care/ICU/PICU/NICU opening in Palm Springs, California. This and other rn jobs brought to you by NursingJobCafe.com Specialty: RN-NICU-TravelLocations: Palm Springs, CaliforniaShift: 7A to 7PDuration: (more...)
Company: All Medical Personnel, LLC
Location: Palm Springs
Posted on: 02/16/2019

Telemetry Nurse - Travel - (Tele RN)
Description: Job Description Requirements br Telemetry Nurse - Tele RN br StartDate: 02/25/2019Available Shifts: 12 N Pay Rate: 1519.00 - 1675.00 br br For 60 years, St.Joseph Health, St. Mary has grown (more...)
Company: Onward HealthCare
Location: Apple Valley
Posted on: 02/16/2019

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Los Angeles RSS job feeds