RN CaseManager PT Days-Sat/Sun
Job DescriptionGenerous Sign On Bonus available Fountain Valley Regional Hospital is proud of the full range of quality services we provide.
Since 1971, we have dedicated our efforts to meeting and serving the medical needs of our growing community.
We were the first hospital in Orange County to offer residents an accredited Chest Pain Center and a Thrombectomy Receiving Center certified by The Joint Commission.
We are one of only two certified Pediatric ICUs in Orange County and the only hospital in Fountain Valley and Huntington Beach with a Level III Neonatal ICU.
We-re proud of the efforts of our physicians, nurses, and staff who strive to provide you with the best care possible.
We offer competitive salaries and benefits including a matching 401(k), several health & dental plans to choose from, generous tuition assistance plans, and relocation assistance for select positions.
RN Case Manager Weekends Full Time Days Position
Summary:
The RN Case Manager accomplishes patients- care by assessing treatment needs developing, monitoring, and evaluating treatment plans and progress; facilitating interdisciplinary approaches, coordinating and providing care that is safe, timely, effective, efficient, and patient-centered.
Essential Duties:
Assesses admission necessity utilizing the IQ SI/IS criteria for fee-for-service Medicare patients, all other payers will be handled by Tenet Call Center (TCC).
Review date will be assigned.
If treatment plan does not meet criteria, the UR nurse will refer case to attending physician.
If no determination, the UR nurse will refer the case to the UR Physician Advisor.
Performs the initial IQ and clinical review within one working day of admission and documents in Allscripts all that are not reviewed by TCC within 24 hours.
Performs continued stay IQ and documents in Allscripts a concurrent review every 3 days or sooner, depending upon the payer, change in LOC, or clinical status.
Reviews all Observation patients daily and performs inpatient IQ.
Initiates discharge planning per Department standard.
All payer sources are screened for high risk, high volume and problem prone patients.
Conducts Adult Transition Evaluations with patients and significant others within 24 hours of admission.
Explores avenues of discharge planning.
Demonstrates a knowledge of human behavior and counseling skills as they relate to patient and staff needs Documents in Allscripts information and events as they occur.
Maintain verbal and written communication with physician, staff, and family regarding discharge planning process.
Notes signed (with name and title) and dated with each entry into the discharge planning record.
Implements innovative discharge planning when needs are out of the ordinary or resources unavailable.
Utilizes insurance plan's case management for planning, if available.
Assists patients and families with information regarding social, economic and emotional aspects and makes necessary referral to social work, financial counseling or educational resources.
Acts as a resource to patients and families.
Assists physicians in transferring patients to other facilities.
Coordinates exchange of information, records, transportation and notifications.
Documents activities in Discharge Planning notes.
Educates medical and nursing staff on discharge planning for continuity of care.
Lower level of care; i.
e.
, role of HHC, SNF, REHAB, etc.
Interprets, CCS Medi-care, Medi-Cal, IMS, private insurance and HMO's as they pertain to discharge planning.
Acts as a community relations person.
Participates in meetings and in-services by outside providers.
Networks with others in the community.
Participates in and initiates family conferences as needed and weekly complex case reviews.
Returns all telephone reviews to insurance companies within one working day.
Updates Discharge Plan and barriers on the eTEMPO board daily.
Actively participates in daily TEMPO rounding.
Completes other duties as assigned.
Qualifications - External RN Case Manager Weekends Full Time Days candidate will possess the following education, licenses/certifications, and
Experience:
Required:
Current California RN license, and a current BLS certification Three to five years of experience in an acute care hospital setting (medical/surgical preferred) Must be proficient in typing.
Ability to write and communicate professionally Must be proficient in computer skills including Microsoft Office Preferred:
Broad knowledge of Medicare, Medi-Cal and insurance guidelines.
Critical care experience (For Resource Case Manager)The hospital, in its sole discretion, reserves the right to combine any of the above required experiences, or to consider applicants other work related experience in order to meet the above mentioned requirements.
AONE19 Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce.
If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date.
If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
Pay Range:
$44.
00 - $67.
84Individual wages are determined based upon a number of factors including, but not limited to, an employee's qualifications and experience.
About UsWho We AreWe are a community built on care.
Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing.
Your community is our community.
Our StoryWe started out as a small operation in California.
In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals.
Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.
We have a rich history at Tenet.
There are so many stories of compassionate care; so many firsts in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need.
Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.
Our Impact TodayToday, we are leading health system and services platform that continues to evolve in lockstep with community need.
Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.
Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care.
We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve.
The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.
Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day.
About the TeamCareers at TenetAt Tenet Healthcare, the heart of what we do centers on caring with compassion, which ultimately creates a bond between our caregivers and patients.
Everyone contributes to these moments, whether providing care directly or supporting those who do.
As an organization, we provide employees with resources, tools and support to serve our patients and customers in the best way possible.
We also take care of one another, helping team members further develop their career pathways and maximize their potential.
Recommended Skills Basic Life Support Call Centers Case Management Clinical Works Communication Critical Care Estimated Salary: $20 to $28 per hour based on qualifications.
Since 1971, we have dedicated our efforts to meeting and serving the medical needs of our growing community.
We were the first hospital in Orange County to offer residents an accredited Chest Pain Center and a Thrombectomy Receiving Center certified by The Joint Commission.
We are one of only two certified Pediatric ICUs in Orange County and the only hospital in Fountain Valley and Huntington Beach with a Level III Neonatal ICU.
We-re proud of the efforts of our physicians, nurses, and staff who strive to provide you with the best care possible.
We offer competitive salaries and benefits including a matching 401(k), several health & dental plans to choose from, generous tuition assistance plans, and relocation assistance for select positions.
RN Case Manager Weekends Full Time Days Position
Summary:
The RN Case Manager accomplishes patients- care by assessing treatment needs developing, monitoring, and evaluating treatment plans and progress; facilitating interdisciplinary approaches, coordinating and providing care that is safe, timely, effective, efficient, and patient-centered.
Essential Duties:
Assesses admission necessity utilizing the IQ SI/IS criteria for fee-for-service Medicare patients, all other payers will be handled by Tenet Call Center (TCC).
Review date will be assigned.
If treatment plan does not meet criteria, the UR nurse will refer case to attending physician.
If no determination, the UR nurse will refer the case to the UR Physician Advisor.
Performs the initial IQ and clinical review within one working day of admission and documents in Allscripts all that are not reviewed by TCC within 24 hours.
Performs continued stay IQ and documents in Allscripts a concurrent review every 3 days or sooner, depending upon the payer, change in LOC, or clinical status.
Reviews all Observation patients daily and performs inpatient IQ.
Initiates discharge planning per Department standard.
All payer sources are screened for high risk, high volume and problem prone patients.
Conducts Adult Transition Evaluations with patients and significant others within 24 hours of admission.
Explores avenues of discharge planning.
Demonstrates a knowledge of human behavior and counseling skills as they relate to patient and staff needs Documents in Allscripts information and events as they occur.
Maintain verbal and written communication with physician, staff, and family regarding discharge planning process.
Notes signed (with name and title) and dated with each entry into the discharge planning record.
Implements innovative discharge planning when needs are out of the ordinary or resources unavailable.
Utilizes insurance plan's case management for planning, if available.
Assists patients and families with information regarding social, economic and emotional aspects and makes necessary referral to social work, financial counseling or educational resources.
Acts as a resource to patients and families.
Assists physicians in transferring patients to other facilities.
Coordinates exchange of information, records, transportation and notifications.
Documents activities in Discharge Planning notes.
Educates medical and nursing staff on discharge planning for continuity of care.
Lower level of care; i.
e.
, role of HHC, SNF, REHAB, etc.
Interprets, CCS Medi-care, Medi-Cal, IMS, private insurance and HMO's as they pertain to discharge planning.
Acts as a community relations person.
Participates in meetings and in-services by outside providers.
Networks with others in the community.
Participates in and initiates family conferences as needed and weekly complex case reviews.
Returns all telephone reviews to insurance companies within one working day.
Updates Discharge Plan and barriers on the eTEMPO board daily.
Actively participates in daily TEMPO rounding.
Completes other duties as assigned.
Qualifications - External RN Case Manager Weekends Full Time Days candidate will possess the following education, licenses/certifications, and
Experience:
Required:
Current California RN license, and a current BLS certification Three to five years of experience in an acute care hospital setting (medical/surgical preferred) Must be proficient in typing.
Ability to write and communicate professionally Must be proficient in computer skills including Microsoft Office Preferred:
Broad knowledge of Medicare, Medi-Cal and insurance guidelines.
Critical care experience (For Resource Case Manager)The hospital, in its sole discretion, reserves the right to combine any of the above required experiences, or to consider applicants other work related experience in order to meet the above mentioned requirements.
AONE19 Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce.
If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date.
If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
Pay Range:
$44.
00 - $67.
84Individual wages are determined based upon a number of factors including, but not limited to, an employee's qualifications and experience.
About UsWho We AreWe are a community built on care.
Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing.
Your community is our community.
Our StoryWe started out as a small operation in California.
In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals.
Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.
We have a rich history at Tenet.
There are so many stories of compassionate care; so many firsts in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need.
Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.
Our Impact TodayToday, we are leading health system and services platform that continues to evolve in lockstep with community need.
Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.
Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care.
We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve.
The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.
Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day.
About the TeamCareers at TenetAt Tenet Healthcare, the heart of what we do centers on caring with compassion, which ultimately creates a bond between our caregivers and patients.
Everyone contributes to these moments, whether providing care directly or supporting those who do.
As an organization, we provide employees with resources, tools and support to serve our patients and customers in the best way possible.
We also take care of one another, helping team members further develop their career pathways and maximize their potential.
Recommended Skills Basic Life Support Call Centers Case Management Clinical Works Communication Critical Care Estimated Salary: $20 to $28 per hour based on qualifications.
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