Registered Nurse Case Manager jobs at AHMC Healthcare - 75 jobs
Case Manager, RN
Ahmc Healthcare Inc. 4.0
Registered nurse case manager job at AHMC Healthcare
Under the general supervision of the casemanagement Director acts as a patient advocate/casemanager to hospital clients. An autonomous role that coordinates, negotiates, procures services and resources for, and manages the care of complex patients to facilitate achievement of quality and cost efficient patient outcomes. Looks for opportunities to reduce cost while ensuring the highest quality of care is maintained. Applies review criteria to determine medical necessity for admission and continued stay. Provides clinically based casemanagement, discharge planning, and care coordination to facilitate the delivery of cost-effective quality health-care and assists in the identification of appropriate utilization of resources across the continuum of care. Works collaboratively with interdisciplinary staff internal and external to the organization. Participates in quality improvement and evaluation processes related to the management of patient care.
Responsibilities
Assessment
* Does the initial screening of all elective in patient admissions related to:
* Level of care
* Appropriateness of admission (IS-SI)
* Discharge needs
* Third party contractual arrangements
* Appropriate resource utilization
* Coordinates the pre-admission screening and education of the identified patient populations
* Coordinates out-of-area transfers
* Documents patients admitted directly through Pre-Admissions in the laptop system and forwards the information on to the CaseManagers as appropriate with discharge planning concerns and the initial discharge-planning screen
Technical and Job Specific Skills
* Develops educational programs (pre/post op surgeries), high risk screening tools, Care-Maps for the Pre-Admit phase of identified populations and proactive discharge planning.
* Coordinates OOA/OON Managed Care admissions, as well as meeting criteria and the Level of Care, which is appropriate according to Interqual and Millman & Robertson Guidelines.
* Serves as a source in selecting and assigning the admission types (i.e. In Patients, 23:59, SOS, etc.).
* Interacts with the admitting MD as appropriate involving the Physician Adviser as needed for inappropriate admits/transfers/level of care.
* Oversees that Pre-Admit TAR's are obtained and the patients payer sources have the appropriate network among the patients health care team (i.e. Case Mgmt, Business Office, Physicians, Social Services, NurseManager, etc.)
* Is a clinical resource to admitting department and provides ongoing education on the effective resources of the Pre Admission CaseManager and Quality/CaseManagement Department to physicians, physician office staff, nursing.
* Maintains identified tracking and data statistics as requested by Commitment to Quality role in CaseManagement.
Performance/Process Improvement
* Is aware of and follows all hospital and department process policies and procedures.
* Is knowledgeable of Improvement performance/process improvement (P.I.) methodology.
* Can verbalize knowledge of hospital-wide performance/process improvement activity.
* Offers suggestions for departmental and/or hospital-wide performance/process improvement.
* Knowledge of and participation in the performance/process improvement is a condition of employment.
Guest/Interdepartmental Relations
* As observed by representatives of management, all interactions are conducted in a professional manner.
* Verbal and written feedback from patients, family members/significant others, medical staff, visitors and co-workers indicates behavior conducive to positive guest relations.
* Consistently exhibits appropriate phone protocol (e.g., answers phones promptly, is courteous, helpful and identifies self and department).
* Consistently contributes to the team effort (e.g., assists co-workers when need is observed or upon request, offers constructive suggestions rather than complaints).
* Consistently displays cheerful and positive attitude.
Productivity
* Maintains high productivity and performs efficiently regardless of whether the work volume is high or low.
* Appropriately prioritizes work activities.
* Responds to difficult situations with self-control and a positive attitude.
* Makes decisions independently and knows when to ask for assistance.
* Exercises good judgment and arrives at sound decisions.
Key Success Factors
* Employee reports to work each regularly scheduled work day.
* Is ready for work at precise starting time and continues working until scheduled departure time.
* Readily accepts work assignments in a positive manner.
* Performs work that is accurate, neat and consistent.
* Documentation is legible.
* Keeps work area neat and maintains equipment in accordance with health and safety codes.
* Reports safety issues and equipment failures appropriately.
* Projects a professional image, follows the hospital dress code policy and/or department requirements.
* Wears hospital ID badge at all times on duty.
* Sensitive information including, but not limited to, patient records, charts, hospital documents and employee information is kept confidential without exception.
* Completes annual requirements (PPD, requirements, Annual Update, Ethics Training, Licensure and/or Professional Certification) on time.
Communicates with nursing and other hospital personnel, regarding laboratory procedures, results, etc.
* Communicates in a clear, courteous and professional manner.
Professional Conduct
* Employee has the willingness and ability to perform additional duties and responsibilities in different areas of the department as on an-needed basis or as determined by management.
* Follows established hospital and department policies.
* No more than 2 written substantiated complaints representing a breach of policy, procedure or professional behavior since last evaluation.
* Demonstrates the philosophy of team concept.
* Participates in group projects and staff meeting with suggestions that enhance the work environment and increase productivity.
* Communicates well with supervisor reporting problems with equipment, supplies, or procedures. Requests assistance as appropriate.
* Maintains confidentiality as related to job responsibilities.
* Exhibits willingness to resolve problems as they arise.
* Consistently projects positive professional image through appearance and behavior.
* Completes assigned work within shift.
Professional Growth and Development
* Completes annual safety updates within the established time frames.
* Completes general and departmental orientation within established time frames.
* Attends 100% of mandatory in-service programs.
* Maintains licensure/certification as appropriate.
* Attends 75% of staff meetings or reads and initials minutes.
* Keeps up with reading memos without reminders.
* Does continuing education programs on time and with good test scores.
Performance Improvement
* Consistently strives to understand, anticipate and meet the needs, expectations and satisfaction levels of patients and other "customers".
* Errors, inefficiencies and inaccuracies are brought to management's attention with suggestions for improvement.
* Develops innovative solutions to departmental problems.
* Identifies and implements methods of controlling coast or generating revenue while providing maximum value to both the patient/customer and the hospital.
* Maximizes efficiency in all departmental operations.
* Measures progress against quality goals.
* Actively promotes our Attitude is Everything, Core Measure, No Pass Zone, Avatar and Front Stage/Back-Stage goals.
Additional Responsibilities
* Coordinates and supervises data and reporting needs and provides timely discharge planning.
* Frequent contact with other organization units, outside facilities staff to obtain, verify and/pr provide information for the discharge follow up.
* Answers inquires and education th patients/family, physicians and hospital staff on discharge.
* May coordinate and supervise Air & Ground transportation.
* Coordinates and supervise cases and referral information (SNF, Home Health and DME).
* Maintain the consistency and integrity of CaseManagement/Social Services bed track data.
Department-Specific Competencies
* Medication administration
* Basic Life Support
* Respiratory care
* Isolation technique
* Blood glucose testing
Qualifications
* Minimum Education: Preferred Bachelors of Science/Nursing or Bachelors of Health Care Administration
* Minimum Experience: Minimum of 5 years' experience in the acute care setting. Working knowledge of inter Qual IS-SI, Milliman nd Robertson Managed Care Guidelines, Erickson Life Skills (Age Competencies}, Medicare Part A and Part B, Medi-Cal, NCQA, HEDIS and other criteria as identified by the Quality/CaseManagement Department. Working knowledge of Care-M.A.P. development and implementation. Minimum of 1 year of discharge planning experience. Working knowledge of managed care and capitation.
* Required Certification/Registration: Current, valid California RN license.
$92k-149k yearly est. Auto-Apply 21d ago
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Case Manager
Ahmc Healthcare Inc. 4.0
Registered nurse case manager job at AHMC Healthcare
Monitors the admissions, continued stay, and discharge of patients following pre-established criteria. Assures that patients meet InterQual criteria from admission to discharge including appropriateness of level of care. Conducts interdisciplinary care management rounds. Ensures collaboration between multidisciplinary healthcare team members, primary physician, community agencies, HMOs/PPOs, CCS, etc., whose services may be required and/or related to the care needs of the patient after hospital discharge. Monitors nursing and medical plans of care/discharge plans and provides appropriate interventions to assure care is appropriate, coordinated and that avoidable patient days are addressed effectively through education, consultation, and counseling as needed. Ensure patient centered discharge planning and assessment by communicating the appropriate discharge information and instructions to the primary care giver and primary physician and/or follow-up care agency. Assures patients are transferred to appropriate approved facilities when required.
This position requires providing service to an ill through rehabilitating neonatal through geriatric patient population in a manner that demonstrates an understanding of the functional/developmental age of the individual served.
This position requires the full understanding and active participation in fulfilling the Mission of San Gabriel Valley Medical Center. It is expected that the employee will demonstrate behavior consistent with the Core Values. The employee shall support San Gabriel Valley Medical Center's strategic plan and the goals and direction of the Performance Improvement Plan (PIP)..
Responsibilities
Discharge planning to occur with patient and family within two working days of admission and relay information to UR Staff. Performs admission and continued stay review utilizing criteria approved by the medical staff to ensure that patients meet Severity of illness/intensity of Service criteria. Confers with the attending/consulting physician(s) as appropriate when the medical necessity for admission or continued stay in not clear. Consults with the Physician Advisor when the admission or continued stay does not meet criteria, care is not being provided timely or does not meet the community standard of care. Provides clinical review information to external review entities or insurance companies to ensure authorization for admission and continued stay is obtained. Accurately completes the MediCal Treatment Authorization Request (TAR) in detail to ensure payment for hospital services. Refers medically complex patients under the age of 65 to the MediCal CaseManagement program. Facilitates transfer of patients to other acute care facilities as required either due to third party payer requirements or county indigent program. Identifies potentially avoidable days, delays in service, over utilization or quality of care issues and completes reports as required. Performs the CaseManagement Admission Assessment within two working days of admission. With the concurrence of the patient, family and physician develops a plan for post discharge care. Refers appropriate patients to Social Services for psychosocial intervention, Advance Directive or end of life education. Accurately documents the casemanagement process in the medical record on the Discharge Planning Assessment form N-245. Identifies the responsibilities and involvement of the Inter-disciplinary team members in discharge planning activities on an ongoing basis. Participates in Interdisciplinary Care rounds/conferences to facilitate coordination of care, goal setting, and developing strategies to facilitate the discharge planning process. Communicates the final discharge date and plan with the patient and family to ensure that they are informed as required by law and documents such notification in the Plan section of the Discharge Planning Assessment form (N-245). Provides accurate information and completes referrals as appropriate to implement the discharge plan including but not limited to Home Health Services, Hospice, Skilled Nursing Facilities, Durable Medical Supplies, and other community resources. Maintain confidentiality as required by HIPPA and only provides information relating to payment, hospital operations or continuity of care. Provides "hand off" information to the receiving CaseManager to ensure a safe, smooth transition to other nursing units. Refers situations requiring immediate intervention to the Director of CaseManagement, Risk Management, Director of Quality Management and the Vice President of Medical Affairs. Participates in committee meetings, patient care conferences other activities as assigned. Participates in department Performance Improvement activities. Participates in the orientation of new employees or cross training other casemanagers as needed. Maintains accurate records and statistics of casemanagement activities, as required. Demonstrates a continuing effort to improve the quality of casemanagement performance through on-going education. Incorporates the core values; dignity, collaboration, justice, stewardship and excellence into daily performance. Performs other related duties as assigned or requested.
Qualifications
Minimum Qualifications Graduate of an accredited RN School of Nursing Four years recent acute care experience in a critical care setting (preferred) Two years Utilization Management/CaseManagement experience in an acute care setting (preferred) Working knowledge of Interqual, Intensity of Service/Severity of Illness criteria. Working knowledge of Title XVII and Title XIX. Working knowledge of reimbursement related to Medicare, Medi-Cal, Capitation, and Managed Care is required. Ability to negotiate orders with the physicians in order to assign alternate levels of care. Working knowledge of community resources. Working knowledge of methods to resolve patient needs such as discharge planning, Home Health, DME and SNF's. Ability to casemanage smoothly and increase patient/physician satisfaction while staying within guidelines. Ability to track outcomes and report findings. Able to problem solve effectively. Ability to use clinical knowledge to identify potential quality issues, delays in service, post-acute care needs required. Must have excellent oral and written communication, interpersonal, problem-solving, conflict resolution, presentation, time management, positive personal influence and negotiation skills. Must have strong clinical assessment and critical thinking skills necessary to provide utilization review/discharge planning services appropriate to patients with complex medical, emotional and social needs. Must have the ability to work in a high volume caseload environment and deal effectively with rapidly changing priorities.
Licenses/Certifications
Current California RN License
Current BLS Card
Current MAB Certification (BMC) preferred
$43k-80k yearly est. Auto-Apply 11d ago
Case Manager, RN
AHMC Healthcare 4.0
Registered nurse case manager job at AHMC Healthcare
Under the general supervision of the casemanagement Director acts as a patient advocate/casemanager to hospital clients. An autonomous role that coordinates, negotiates, procures services and resources for, and manages the care of complex patients to facilitate achievement of quality and cost efficient patient outcomes. Looks for opportunities to reduce cost while ensuring the highest quality of care is maintained. Applies review criteria to determine medical necessity for admission and continued stay. Provides clinically based casemanagement, discharge planning, and care coordination to facilitate the delivery of cost-effective quality health-care and assists in the identification of appropriate utilization of resources across the continuum of care. Works collaboratively with interdisciplinary staff internal and external to the organization. Participates in quality improvement and evaluation processes related to the management of patient care.
Responsibilities
Assessment
Does the initial screening of all elective in patient admissions related to:
Level of care
Appropriateness of admission (IS-SI)
Discharge needs
Third party contractual arrangements
Appropriate resource utilization
Coordinates the pre-admission screening and education of the identified patient populations
Coordinates out-of-area transfers
Documents patients admitted directly through Pre-Admissions in the laptop system and forwards the information on to the CaseManagers as appropriate with discharge planning concerns and the initial discharge-planning screen
Technical and Job Specific Skills
Develops educational programs (pre/post op surgeries), high risk screening tools, Care-Maps for the Pre-Admit phase of identified populations and proactive discharge planning.
Coordinates OOA/OON Managed Care admissions, as well as meeting criteria and the Level of Care, which is appropriate according to Interqual and Millman & Robertson Guidelines.
Serves as a source in selecting and assigning the admission types (i.e. In Patients, 23:59, SOS, etc.).
Interacts with the admitting MD as appropriate involving the Physician Adviser as needed for inappropriate admits/transfers/level of care.
Oversees that Pre-Admit TAR's are obtained and the patients payer sources have the appropriate network among the patients health care team (i.e. Case Mgmt, Business Office, Physicians, Social Services, NurseManager, etc.)
Is a clinical resource to admitting department and provides ongoing education on the effective resources of the Pre Admission CaseManager and Quality/CaseManagement Department to physicians, physician office staff, nursing.
Maintains identified tracking and data statistics as requested by Commitment to Quality role in CaseManagement.
Performance/Process Improvement
Is aware of and follows all hospital and department process policies and procedures.
Is knowledgeable of Improvement performance/process improvement (P.I.) methodology.
Can verbalize knowledge of hospital-wide performance/process improvement activity.
Offers suggestions for departmental and/or hospital-wide performance/process improvement.
Knowledge of and participation in the performance/process improvement is a condition of employment.
Guest/Interdepartmental Relations
As observed by representatives of management, all interactions are conducted in a professional manner.
Verbal and written feedback from patients, family members/significant others, medical staff, visitors and co-workers indicates behavior conducive to positive guest relations.
Consistently exhibits appropriate phone protocol (e.g., answers phones promptly, is courteous, helpful and identifies self and department).
Consistently contributes to the team effort (e.g., assists co-workers when need is observed or upon request, offers constructive suggestions rather than complaints).
Consistently displays cheerful and positive attitude.
Productivity
Maintains high productivity and performs efficiently regardless of whether the work volume is high or low.
Appropriately prioritizes work activities.
Responds to difficult situations with self-control and a positive attitude.
Makes decisions independently and knows when to ask for assistance.
Exercises good judgment and arrives at sound decisions.
Key Success Factors
Employee reports to work each regularly scheduled work day.
Is ready for work at precise starting time and continues working until scheduled departure time.
Readily accepts work assignments in a positive manner.
Performs work that is accurate, neat and consistent.
Documentation is legible.
Keeps work area neat and maintains equipment in accordance with health and safety codes.
Reports safety issues and equipment failures appropriately.
Projects a professional image, follows the hospital dress code policy and/or department requirements.
Wears hospital ID badge at all times on duty.
Sensitive information including, but not limited to, patient records, charts, hospital documents and employee information is kept confidential without exception.
Completes annual requirements (PPD, requirements, Annual Update, Ethics Training, Licensure and/or Professional Certification) on time.
Communicates with nursing and other hospital personnel, regarding laboratory procedures, results, etc.
Communicates in a clear, courteous and professional manner.
Professional Conduct
Employee has the willingness and ability to perform additional duties and responsibilities in different areas of the department as on an-needed basis or as determined by management.
Follows established hospital and department policies.
No more than 2 written substantiated complaints representing a breach of policy, procedure or professional behavior since last evaluation.
Demonstrates the philosophy of team concept.
Participates in group projects and staff meeting with suggestions that enhance the work environment and increase productivity.
Communicates well with supervisor reporting problems with equipment, supplies, or procedures. Requests assistance as appropriate.
Maintains confidentiality as related to job responsibilities.
Exhibits willingness to resolve problems as they arise.
Consistently projects positive professional image through appearance and behavior.
Completes assigned work within shift.
Professional Growth and Development
Completes annual safety updates within the established time frames.
Completes general and departmental orientation within established time frames.
Attends 100% of mandatory in-service programs.
Maintains licensure/certification as appropriate.
Attends 75% of staff meetings or reads and initials minutes.
Keeps up with reading memos without reminders.
Does continuing education programs on time and with good test scores.
Performance Improvement
Consistently strives to understand, anticipate and meet the needs, expectations and satisfaction levels of patients and other "customers".
Errors, inefficiencies and inaccuracies are brought to management's attention with suggestions for improvement.
Develops innovative solutions to departmental problems.
Identifies and implements methods of controlling coast or generating revenue while providing maximum value to both the patient/customer and the hospital.
Maximizes efficiency in all departmental operations.
Measures progress against quality goals.
Actively promotes our Attitude is Everything, Core Measure, No Pass Zone, Avatar and Front Stage/Back-Stage goals.
Additional Responsibilities
Coordinates and supervises data and reporting needs and provides timely discharge planning.
Frequent contact with other organization units, outside facilities staff to obtain, verify and/pr provide information for the discharge follow up.
Answers inquires and education th patients/family, physicians and hospital staff on discharge.
May coordinate and supervise Air & Ground transportation.
Coordinates and supervise cases and referral information (SNF, Home Health and DME).
Maintain the consistency and integrity of CaseManagement/Social Services bed track data.
Department-Specific Competencies
Medication administration
Basic Life Support
Respiratory care
Isolation technique
Blood glucose testing
Qualifications
Minimum Education: Preferred Bachelors of Science/Nursing or Bachelors of Health Care Administration
Minimum Experience: Minimum of 5 years' experience in the acute care setting. Working knowledge of inter Qual IS-SI, Milliman nd Robertson Managed Care Guidelines, Erickson Life Skills (Age Competencies}, Medicare Part A and Part B, Medi-Cal, NCQA, HEDIS and other criteria as identified by the Quality/CaseManagement Department. Working knowledge of Care-M.A.P. development and implementation. Minimum of 1 year of discharge planning experience. Working knowledge of managed care and capitation.
Required Certification/Registration: Current, valid California RN license.
$92k-149k yearly est. Auto-Apply 60d+ ago
Case Manager
AHMC Healthcare 4.0
Registered nurse case manager job at AHMC Healthcare
Monitors the admissions, continued stay, and discharge of patients following pre-established criteria. Assures that patients meet InterQual criteria from admission to discharge including appropriateness of level of care. Conducts interdisciplinary care management rounds. Ensures collaboration between multidisciplinary healthcare team members, primary physician, community agencies, HMOs/PPOs, CCS, etc., whose services may be required and/or related to the care needs of the patient after hospital discharge. Monitors nursing and medical plans of care/discharge plans and provides appropriate interventions to assure care is appropriate, coordinated and that avoidable patient days are addressed effectively through education, consultation, and counseling as needed. Ensure patient centered discharge planning and assessment by communicating the appropriate discharge information and instructions to the primary care giver and primary physician and/or follow-up care agency. Assures patients are transferred to appropriate approved facilities when required.
This position requires providing service to an ill through rehabilitating neonatal through geriatric patient population in a manner that demonstrates an understanding of the functional/developmental age of the individual served.
This position requires the full understanding and active participation in fulfilling the Mission of San Gabriel Valley Medical Center. It is expected that the employee will demonstrate behavior consistent with the Core Values. The employee shall support San Gabriel Valley Medical Center's strategic plan and the goals and direction of the Performance Improvement Plan (PIP)..
Responsibilities
Discharge planning to occur with patient and family within two working days of admission and relay information to UR Staff.
Performs admission and continued stay review utilizing criteria approved by the medical staff to ensure that patients meet Severity of illness/intensity of Service criteria.
Confers with the attending/consulting physician(s) as appropriate when the medical necessity for admission or continued stay in not clear.
Consults with the Physician Advisor when the admission or continued stay does not meet criteria, care is not being provided timely or does not meet the community standard of care.
Provides clinical review information to external review entities or insurance companies to ensure authorization for admission and continued stay is obtained.
Accurately completes the MediCal Treatment Authorization Request (TAR) in detail to ensure payment for hospital services.
Refers medically complex patients under the age of 65 to the MediCal CaseManagement program.
Facilitates transfer of patients to other acute care facilities as required either due to third party payer requirements or county indigent program.
Identifies potentially avoidable days, delays in service, over utilization or quality of care issues and completes reports as required.
Performs the CaseManagement Admission Assessment within two working days of admission.
With the concurrence of the patient, family and physician develops a plan for post discharge care.
Refers appropriate patients to Social Services for psychosocial intervention, Advance Directive or end of life education.
Accurately documents the casemanagement process in the medical record on the Discharge Planning Assessment form N-245.
Identifies the responsibilities and involvement of the Inter-disciplinary team members in discharge planning activities on an ongoing basis.
Participates in Interdisciplinary Care rounds/conferences to facilitate coordination of care, goal setting, and developing strategies to facilitate the discharge planning process.
Communicates the final discharge date and plan with the patient and family to ensure that they are informed as required by law and documents such notification in the Plan section of the Discharge Planning Assessment form (N-245).
Provides accurate information and completes referrals as appropriate to implement the discharge plan including but not limited to Home Health Services, Hospice, Skilled Nursing Facilities, Durable Medical Supplies, and other community resources.
Maintain confidentiality as required by HIPPA and only provides information relating to payment, hospital operations or continuity of care.
Provides “hand off” information to the receiving CaseManager to ensure a safe, smooth transition to other nursing units.
Refers situations requiring immediate intervention to the Director of CaseManagement, Risk Management, Director of Quality Management and the Vice President of Medical Affairs.
Participates in committee meetings, patient care conferences other activities as assigned.
Participates in department Performance Improvement activities.
Participates in the orientation of new employees or cross training other casemanagers as needed.
Maintains accurate records and statistics of casemanagement activities, as required.
Demonstrates a continuing effort to improve the quality of casemanagement performance through on-going education.
Incorporates the core values; dignity, collaboration, justice, stewardship and excellence into daily performance.
Performs other related duties as assigned or requested.
Qualifications
Minimum Qualifications
Graduate of an accredited RN School of Nursing
Four years recent acute care experience in a critical care setting (preferred)
Two years Utilization Management/CaseManagement experience in an acute care setting (preferred)
Working knowledge of Interqual, Intensity of Service/Severity of Illness criteria.
Working knowledge of Title XVII and Title XIX.
Working knowledge of reimbursement related to Medicare, Medi-Cal, Capitation, and Managed Care is required.
Ability to negotiate orders with the physicians in order to assign alternate levels of care.
Working knowledge of community resources.
Working knowledge of methods to resolve patient needs such as discharge planning, Home Health, DME and SNF's.
Ability to casemanage smoothly and increase patient/physician satisfaction while staying within guidelines.
Ability to track outcomes and report findings.
Able to problem solve effectively.
Ability to use clinical knowledge to identify potential quality issues, delays in service, post-acute care needs required.
Must have excellent oral and written communication, interpersonal, problem-solving, conflict resolution, presentation, time management, positive personal influence and negotiation skills.
Must have strong clinical assessment and critical thinking skills necessary to provide utilization review/discharge planning services appropriate to patients with complex medical, emotional and social needs.
Must have the ability to work in a high volume caseload environment and deal effectively with rapidly changing priorities.
Licenses/Certifications
Current California RN License
Current BLS Card
Current MAB Certification (BMC) preferred
$43k-80k yearly est. Auto-Apply 60d+ ago
Case Manager PD Days
Ahmc Healthcare Inc. 4.0
Registered nurse case manager job at AHMC Healthcare
JOB SUMMARY: The CaseManager uses InterQual criteria to evaluate the appropriateness of admissions, concurrent stay and readiness for discharge. She/he assures correct level of care: critical, telemetry, acute, observation, for all patients. The CaseManager provides an efficient, coordinated approach to clinical management, with an emphasis on discharge planning, care coordination and utilization management activities for select patient populations across the continuum of programs and services at GMC. The essential functions of the CaseManager require constant collaboration with the Social Workers, Nursing staff, Financial Counselors, Medical Staff to coordinate the care of patients in a proactive manner.
The position requires the full understanding and active participation in fulfilling the mission of GMC - Garfield Medical Center. It is expected that the employee demonstrate behavior consistent with the core values. The employee shall support GMC - Garfield Medical Center strategic plan and goals and direction of the performance improvement plan.
EDUCATION, EXPERIENCE, TRAINING
RN License in the State of California required. Certified CaseManager preferred. Meets education and competency requirements for position. BCLS Card AHA required.
$43k-80k yearly est. Auto-Apply 13d ago
Case Manager PD Days
AHMC Healthcare 4.0
Registered nurse case manager job at AHMC Healthcare
JOB SUMMARY: The CaseManager uses InterQual criteria to evaluate the appropriateness of admissions, concurrent stay and readiness for discharge. She/he assures correct level of care: critical, telemetry, acute, observation, for all patients. The CaseManager provides an efficient, coordinated approach to clinical management, with an emphasis on discharge planning, care coordination and utilization management activities for select patient populations across the continuum of programs and services at GMC. The essential functions of the CaseManager require constant collaboration with the Social Workers, Nursing staff, Financial Counselors, Medical Staff to coordinate the care of patients in a proactive manner.
The position requires the full understanding and active participation in fulfilling the mission of GMC - Garfield Medical Center. It is expected that the employee demonstrate behavior consistent with the core values. The employee shall support GMC - Garfield Medical Center strategic plan and goals and direction of the performance improvement plan.
EDUCATION, EXPERIENCE, TRAINING
RN License in the State of California required.
Certified CaseManager preferred.
Meets education and competency requirements for position.
BCLS Card AHA required.
$43k-80k yearly est. Auto-Apply 13d ago
Denials Manager RN
AHMC Healthcare 4.0
Registered nurse case manager job at AHMC Healthcare
The Denials CaseManager, RN appeals all denials using InterQual criteria and medical necessity. Collaboratively works with all members of the revenue cycle team and all types of payers to resolve denials, maximize accurate and timely reimbursement, and perform reimbursement recovery and retention service. Evaluates, tracks and trends denials, and implements denial prevention programs. Works in collaboration with CaseManagers, Physicians, Finance and multidisciplinary teams to ensure compliance with documentation and educates as needed.
This position requires the full understanding and active participation in fulfilling the Mission of San Gabriel Valley Medical Center. It is expected that the employee will demonstrate behavior consistent with the Core Values. The employee shall support San Gabriel Valley Medical Center's strategic plan and the goals and direction of the Performance Improvement Plan (PIP).
According to the American CaseManagement Association Standard of Practice, CaseManagement is expected to “advocate for the patient while balancing the responsibility of stewardship for their organization, and in general, the judicious management of resources.”
Medicare defines Medical necessity as “health care services or supplies needed to diagnose or treat an illness, injury, condition, disease or its symptoms and that meet accepted standards of medicine.”
Responsibilities
Specific Job Duties:
Ensures template for appeals includes reason for denial, diagnosis codes, MCG criteria used to support appeal, highlights of medical necessity supporting appeal, and only supporting documents necessary to support appeal are submitted with appeal template.
Has knowledge of appeal deadlines and ensures appeals are submitted within this timeframe. Tracks responses to appeals, follows-up as appropriate.
Working knowledge of levels of appeals, time lines, and contractual requirements related to appeals.
Works with payers to resolve issues related to underpayments or increased denial trends.
Ensures working knowledge of contracts to ensure appropriate reimbursement.
Works closely with facility department directors such as Admitting, CaseManagement, Patient Accounting and CBO Directors to review, resolve and streamline all necessary aspects of the appeals process
Establish appropriate tool for measuring Denial Tracking and Trending. Tracks and trends data, identifies opportunities for improvement, and establishes process improvement strategies as appropriate.
Works closely with CaseManagers regarding the Peer to Peer process for concurrent denials. Ensures they are completed within timeframes and logged. Creates a peer to peer report on weekly/monthly basis for presentation at denials meetings.
May be asked to provide education and training to the Medical Staff, Nursing staff and or others related to denial prevention.
Leads in RAC preparedness and assists facility in the time of RAC Audits.
Participates in Continued Education in current laws that prevent unlawful denials, California Code of Regulations and HMO Compliance. Attends training and develops relevant knowledge and skills related to any identified gaps.
Participates in all Corporate and Facility based Denials Meeting
Participates in Utilization Management and other meetings regarding denials, and audits as necessary.
Other responsibilities deems necessary as delegated. regarding denials and denials prevention
Performs other duties as assigned.
Qualifications
Minimum Qualifications
Graduate of an accredited RN School of Nursing
BSN preferred
Four years recent acute care experience in a critical care setting (preferred)
Two years Utilization Management/CaseManagement experience
Working knowledge of MCG, Intensity of Service/Severity of Illness criteria.
Working knowledge of Title XXII and Title XIX.
Working knowledge of reimbursement related to Medicare, Medi-Cal, Capitation, Shared Risk, and Managed Care.
Ability to negotiate with the physicians, payers, and customers.
Ability to track outcomes and report findings.
Able to problem solve effectively.
Ability to use clinical knowledge to identify potential quality issues.
Provides proper notification of absence or tardiness within established departmental time frames.
Licenses/Certifications
Current California RN License
Current BLS Card
$101k-130k yearly est. Auto-Apply 12d ago
RN, Clinical Manager
AHMC Healthcare 4.0
Registered nurse case manager job at AHMC Healthcare
The Clinical Manager is responsible and accountable for the quality of staff and functions during their shift. Directly supervises and communicates with all staff along with the Department Director. Assists the Department Director in the daily operation of the unit, directing, supervising and evaluating personnel, ensuring the proper use of time, equipment and staff. Ensure the efficient functions of the department. Performs direct patient care, only as needed, within the scope of practice. Continually assess care and direct staff to make immediate changes in the plan of care.
Responsibilities
Coordination of Unit Functioning
Assists the Unit Director in identifying equipment and supply needs for the unit.
Assists the Unit Director of identifying problems with equipment utilization.
Identifies nursing problems for investigation.
Coordinates staff schedule.
Reviews/revises policies and procedures.
Serves as a resource to other nursing staff for problem-solving.
Helps others to use hospital resources.
Review hours worked payroll reports (Ultipro).
Communicates with other departments as needed to provide efficient and appropriate patient care.
Supports management decisions.
Demonstrates knowledge of resource consumption, to include utilization of resources, procedures and lengths of stay; actively intervenes as needed.
Leadership
Supports the mission, vision and philosophy at WHMC.
Pro-actively identifies problems and participates in solutions; follows up as appropriate.
Observes and evaluates unit staff's ability to perform assigned duties and provides feedback to the director as needed.
Assists individual staff members in identifying their own learning needs.
Assists in completing performance appraisals for selected staff as delegated by Unit Director.
Participates in interviews of potential employees.
Under the direction of the Unit Director, may hire, counsel, suspend and/or terminate staff.
Maintains nursing hours according to set standards.
Participates in assigned committees/task forces.
Takes lead on projects and completes in a timely manner.
Patient Care - Assessment
Rounds on all patients daily.
Serves as a role model in assessment skills.
Assesses the care being delivered to patients on assigned unit in accordance with policies, procedures and standards of care of WHMC.
Patient Care - Planning
Serves as a role model in planning skills.
Recommends discharge planning needs/issues to appropriate casemanagement staff.
Contributes to the development of more complex patient care plans.
Serves as a resource to staff for complex patients.
Patient Care - Implementation
Serves as role model in patient care and patient/family/significant other teaching.
Assigns staff RNs patient care assignments.
Supervises, supports and coaches others in utilizing the nursing process with all patients on the unit.
Assists others in utilizing available care planning resources; assigns RNs to attend and participate in multidisciplinary casemanagement meetings.
Demonstrates nursing process consistently with all patients.
Utilizes other health team members as resources.
Patient Care - Evaluation
Reviews nursing process documentation done by unit personnel, as delegated by the Unit Director.
Assists the Unit Director in identifying unit educational needs in relation to the nursing process.
Assists the Unit Director and staff to evaluate outcomes of patient care conferences in terms of productivity and interaction of group members.
Monitors and evaluates the quality of care being delivered to patients in the assigned unit.
Monitors the quality of and outcomes of patient/family teaching done on assigned units.
Customer Service
Consistently strives to understand, anticipate and meet the needs, expectations and satisfaction levels of patients, physicians and other customers.
As observed, all interactions are conducted in a professional manner; is supportive and consistently demonstrates the Target 100 standards.
Promptly addresses all negative patient complaints with the appropriate staff person or department to ensure satisfactory resolution.
Verbal and written feedback from patients, family members/significant others, medical staff, visitors and co-workers indicates behavior conducive to positive guest relations.
Consistently exhibits appropriate phone protocol (e.g., answers phone promptly, is courteous and helpful).
Consistently contributes to the team effort (e.g., assists co-workers when need is observed or upon requires; offers constructive suggestions rather than complaints).
Consistently displays cheerful and positive attitude.
Unit customer service scores consistently meet or exceed hospital/unit benchmarks.
Performance Improvement
Serves as a role model in implementing the PDCA (Plan, Do, Check, Act) methodology.
Errors, inefficiencies and inaccuracies are brought to management's attention, with suggestions for improvement.
Measures and collects data and reports progress against quality goals.
Assists Unit Director with regulatory preparations and compliance.
Assures that all PI studies and audits are completed each shift or as required by the particular PI initiative.
Professional Conduct
Employees have the willingness and ability to perform additional duties and responsibilities in different areas of the unit on an as-needed basis or as determined by management.
Follows established hospital and department policies.
Participates in group projects and staff meetings with suggestions that enhance the work environment and increase productivity.
Communicates well with the supervisor, reporting problems with equipment, supplies or procedures.
Maintains confidentiality as related to job responsibilities.
Exhibits willingness to resolve problems as they arise.
Consistently projects positive professional image through appearance and behavior.
Professional Growth and Development
Sets goals for self; meets with Unit Director to evaluate progress on own plans and goals for self-development for professional growth.
Evaluates own clinical leadership skills in terms of patient/staff outcomes observed.
Completes Annual Updates and Ethics Training within established time frames.
Completes general and departmental orientation within established time frames.
Attends 80% of unit staff meetings and in-service programs.
Maintains licensure/certification as appropriate.
Age-Specific Competencies
Assessment
Adolescent
Assesses medication dosages for appropriateness based on patient size & weight. Informs MD as necessary.
Assesses for signs or symptoms of abuse or neglect.
Geriatric
Evaluates age appropriate behavior, motor skills and physiological norms.
Assesses for signs/symptoms of abuse or neglect.
Assesses need for additional safety measures, e.g., side rails, posey vest, etc.
Assesses medication dosages for appropriateness based on patient size & weight. Informs MD as necessary.
Assesses skin integrity; develops a plan of care as needed. Provides care according to plan/direction.
Adolescent, Middle Adult & Geriatric:
Recognizes signs and symptoms of infection.
Demonstrates knowledge of medication dosage including indication, side effects and patient education.
Demonstrates understanding of insulin activity, diet and exercise.
Recognizes appropriate mobility limitations, e.g., use of abductor pillow, log rolling and traction.
Knowledge of Growth and Development - Adolescent, Middle Adult & Geriatric
Recognizes the need to provide reassurance and help in accepting body changes; is non-judgmental and accepting of behavior.
Recognizes the patient's need to have control over his/her environmental, knowledge and understanding of medical conditions including plan of care, prognosis and discharge plan.
Demonstrates knowledge of physiological deficits in association with the aging process, e.g., sensory communicative, cognitive, behavioral.
Range of Treatment - Adolescent, Middle Adult & Geriatric
Demonstrates knowledge of emergent patient presentations in all age ranges from neonatal to geriatric. Strongly recommended is the pursuit of Certified Emergency Nurse designation.
Unit-Specific Competencies
Chest tubes
Central IV lines
Restraints
Alaris IV Pump
Arrhythmia Recognition
Pediatric emergencies
Ventilator (Selected Nurses)
Chemotherapy (Selected Nurses)
Qualifications
Minimum Education: BSN preferred.
Minimum Experience: One year ED or Critical Care RN experience; ER Charge/Supervisory experience preferred.
Required Certification/Registration: Current R.N. license, BLS required; ACLS and PALS.
AB 508
$101k-129k yearly est. Auto-Apply 12d ago
Registered Nurse - Emergency Room
Ahmc Anaheim Regional Medical Center 4.5
Anaheim, CA jobs
AHMC Anaheim Regional Medical Center is a 223-bed general acute care community medical center committed to providing excellent health services and medical care to our patients and our community. Physicians and staff work together to ensure no aspect of a patient's care is left unaddressed or overlooked. We believe that working as a team is far more effective than if doctors worked on an individual basis. This helps us provide optimal health services to our patients.
Job Description
This position is responsible for providing patient care in a safe and effective manner. Responsibilities include directing Patient Care Assistant activity, synthesizing patient information, assessment of patients, planning of care/intervention, teaching of patients/family, implementation of treatment plan, MD orders, documentation and evaluation. integration of patient care standards are incorporated into all clinical activities.
Qualifications
Graduate of RN School of Nursing; BSN preferred.
One year acute care experience preferred. Basic computer skills preferred. Current CA RN license. Current BLS-HCP. Current ACLS. Basic Dysrhythmia Class completion: Optional for RN with at least 6 months experience, and successful completion of EKG competency exam. PALS, NIH Certification, Management of Assaultive Behavior, Certified Emergency Nurse (CEN) preferred, Emergency Nursing Course preferred.
Additional Information
AHMC Anaheim Regional Medical Center is proudly recognized as a Pathway to Excellence facility by ANCC.
$18k-78k yearly est. 1d ago
NURSE MANAGER
Ahmc Healthcare Inc. 4.0
Registered nurse case manager job at AHMC Healthcare
The NurseManager is responsible for assisting the Administrative Director in providing overall leadership and direction for the units or areas of responsibility, and for creating an environment that fosters collaboration among the team to achieve operational and clinical excellence. This will be achieved through the following activities: Participates in the selection and development of staff to achieve high performance; performs all probationary and annual evaluations; works collaboratively with physicians to develop methods for improving the quality of care; works collaboratively with department leadership to achieve quality, fiscal and patient experience goals and expectations.
The NurseManager assumes responsibility and accountability for the quality of nursing activities and staff functions during the shift. Effectively directs nursing personnel and utilizes time, equipment and other unit resources to ensure the daily operation of the unit. Continually assesses care, monitors unit operations, and directs staff to make immediate changes to accommodate patient needs. Performs direct patient care, only when necessary, and within scope of practice
Responsibilities
Principal Accountabilities Assumes responsibility and accountability for unit operations, including but not limited to:o Patient Safety initiativeso Quality standards and outcomeso Patient Experience strategies o Competency and clinical performance of nursing staffo Productivity management Oversees coordination of patient care, working with the CaseManager, as evidenced by:o Identification of appropriate patient admission/discharge/transfer (ADT) at beginning and end of each shift.o Identification and necessary facilitation care to accomplish the plan for the dayo Ensures preparation for and participation by nurses in Care Coordination rounds
Evaluates clinical performance of all unit staff under oversight of Administrative Director. Manages the unit based clinical competency program utilizingappropriate educational resourceso Assists with hiring decisionso Oversees new hire orientation to maximize the orientee's learning experience. Assist the preceptor to find optimal learning situations.Facilitates developmental plans, as needed, to address opportunities to improve
o Daily clinical observation of clinical staff's performance during and after orientation is finished, including review of documentation to ensure regulatory and quality standards are met. o Continuous review of clinical competencies for key diagnostic categories, including, but not limited to: Core Measures (i.e. Stroke, SCIP, Immunizations) Harm indicators (i.e., CAUTI, CLABSI prevention) Pain Management Wound/Skin Care Restraints NPSGs Falls
Ensures floats, travelers, and registry personnel are oriented to unit routine. Serves as a resource and monitors their compliance with Seton patient care standards. Responsible, with Administrative Director, to assure optimal quality of care and patient satisfaction by:o Making rounds on each patient every shift.o Discussing patient satisfaction with patients and/or family members.o Ensuring resolution of issues and communicating necessary information between shifts, staff, and units/floors.o Coaching nursing staff to anticipate patient's needs by listening to patient/family concerns and providing explanations regarding care and treatment o Assessing pain control of patient's and pro-active medication culture of unit.
Assists the Administrative Director to manage the unit communication process by:o Identifying unit operation topics for staff meetingso Utilizing communication book and Visibility Board (Vis-walls) Manages appropriate patient care assignment based on the competency of staff, acuity of patient and continuity of care.o Makes shift assignment at beginning of shift. Changes assignment as necessary to meet patient needs.o Maintains working knowledge of daily patient care needs by listening to report and rounding of all patients on unit. Focuses on desired outcomes and critical data/events to facilitate unit operations.o Facilitates unlicensed assistive personnel to support patient care delivery for the assigned team.
Serves as a primary communication resource for physician interaction for the unit. Facilitates the RN implementation of the plan of care for patients through effective communication with the health care team. Manages shift productivity every 4 hours including, but not limited to, staffing for ADT, midnight census and sitter utilization
Clinical Effectiveness Using the clinical effectiveness model, leads improvement efforts that improves clinical outcomes, patient safety, patient satisfaction and appropriate resource utilization. Maintains and administers the Seton Operation System for continuous monitoring and improvement of the quality of care and services provided. Responsible for monitoring daily compliance to standards of care, operational, and regulatory requirements. Promotes a culture of safety, continually evaluating the delivery of care and services that result in eliminating harm. Regulatory Compliance Monitors compliance with all applicable external agency regulations. Ensures compliance with all personnel to safety standards, Hazardous Materials Management program, Universal Precautions, and Infection Control. Human Resource Management Demonstrates sound management and leadership principles. Promotes employee growth and development through effective use of resources. Uses effective interviewing skills to hire qualified and compassionate staff. Coaches for success and uses progressive counseling for sub-standard performance. Demonstrates awareness of and ability to apply knowledge of current developments in healthcare. Accountability Performs active daily management to ensure that operations are efficient and achieve a state of continual regulatory readiness. Set and holds standards for performance, patient care delivery, and department operations. Maintains confidentiality of all patient and hospital related communications, documents, and records. Maintains clinical and management skills and expands knowledge base. Performs required duties in accordance with prescribed hospital policies and procedures. Maintains a positive attendance record and is prompt in reporting to work. Assesses personal learning needs and utilizes available resources in selfdevelopment to address learning opportunities.
Demonstrates active listening skills and treats all contacts with dignity and respect. Accomplishes objectives within prescribed time frames by prioritizing and organizing workload. Ability to work under stressful situations while maintaining a positive attitude.
Qualifications
QUALIFICATIONS/JOB REQUIREMENTS:EDUCATION: Bachelor degree in Nursing or in progress of obtaining BSN. Master's Degree preferred. EXPERIENCE: At least one year of supervisory experience required or at least 3 years of charge nurse experience. CERTIFICATIONS/LICENSURE: Current California RegisteredNurse License. Certification in area of specialty preferred. Current BLS/ ACLS through American Heart Association
OTHER SKILLS, ABILITIES & KNOWLEDGE: Effective written and verbal communication skills; able to communicate with variousindividuals both inside and outside the organization; and able to understand andcreate reports/presentations/proposals. Proficient with computer systems including but not limited to MS Office.
$90k-122k yearly est. Auto-Apply 13d ago
Nurse Manager
AHMC Healthcare 4.0
Registered nurse case manager job at AHMC Healthcare
The NurseManager is responsible for assisting the Administrative Director in providing overall leadership and direction for the units or areas of responsibility, and for creating an environment that fosters collaboration among the team to achieve operational and clinical excellence. This will be achieved through the following activities: Participates in the selection and development of staff to achieve high performance; performs all probationary and annual evaluations; works collaboratively with physicians to develop methods for improving the quality of care; works collaboratively with department leadership to achieve quality, fiscal and patient experience goals and expectations.
The NurseManager assumes responsibility and accountability for the quality of nursing activities and staff functions during the shift. Effectively directs nursing personnel and utilizes time, equipment and other unit resources to ensure the daily operation of the unit. Continually assesses care, monitors unit operations, and directs staff to make immediate changes to accommodate patient needs. Performs direct patient care, only when necessary, and within scope of practice
Responsibilities
Principal Accountabilities
Assumes responsibility and accountability for unit operations, including but not limited to:
o Patient Safety initiatives
o Quality standards and outcomes
o Patient Experience strategies
o Competency and clinical performance of nursing staff
o Productivity management
Oversees coordination of patient care, working with the CaseManager, as evidenced by:
o Identification of appropriate patient admission/discharge/transfer (ADT) at beginning and end of each shift.
o Identification and necessary facilitation care to accomplish the plan for the day
o Ensures preparation for and participation by nurses in Care Coordination rounds
Evaluates clinical performance of all unit staff under oversight of Administrative Director. Manages the unit based clinical competency program utilizing
appropriate educational resources
o Assists with hiring decisions
o Oversees new hire orientation to maximize the orientee's learning experience. Assist the preceptor to find optimal learning situations.
Facilitates developmental plans, as needed, to address opportunities to improve
o Daily clinical observation of clinical staff's performance during and after orientation is finished, including review of documentation to ensure regulatory and quality standards are met.
o Continuous review of clinical competencies for key diagnostic categories, including, but not limited to:
Core Measures (i.e. Stroke, SCIP, Immunizations)
Harm indicators (i.e., CAUTI, CLABSI prevention)
Pain Management
Wound/Skin Care
Restraints
NPSGs
Falls
Ensures floats, travelers, and registry personnel are oriented to unit routine.
Serves as a resource and monitors their compliance with Seton patient care standards.
Responsible, with Administrative Director, to assure optimal quality of care and patient satisfaction by:
o Making rounds on each patient every shift.
o Discussing patient satisfaction with patients and/or family members.
o Ensuring resolution of issues and communicating necessary information between shifts, staff, and units/floors.
o Coaching nursing staff to anticipate patient's needs by listening to patient/family concerns and providing explanations regarding care and treatment
o Assessing pain control of patient's and pro-active medication culture of unit.
Assists the Administrative Director to manage the unit communication process by:
o Identifying unit operation topics for staff meetings
o Utilizing communication book and Visibility Board (Vis-walls)
Manages appropriate patient care assignment based on the competency of staff, acuity of patient and continuity of care.
o Makes shift assignment at beginning of shift. Changes assignment as necessary to meet patient needs.
o Maintains working knowledge of daily patient care needs by listening to report and rounding of all patients on unit. Focuses on desired outcomes and critical data/events to facilitate unit operations.
o Facilitates unlicensed assistive personnel to support patient care delivery for the assigned team.
Serves as a primary communication resource for physician interaction for the unit. Facilitates the RN implementation of the plan of care for patients through effective communication with the health care team.
Manages shift productivity every 4 hours including, but not limited to, staffing for ADT, midnight census and sitter utilization
Clinical Effectiveness
Using the clinical effectiveness model, leads improvement efforts that improves clinical outcomes, patient safety, patient satisfaction and appropriate resource utilization.
Maintains and administers the Seton Operation System for continuous monitoring and improvement of the quality of care and services provided.
Responsible for monitoring daily compliance to standards of care, operational, and regulatory requirements.
Promotes a culture of safety, continually evaluating the delivery of care and services that result in eliminating harm.
Regulatory Compliance
Monitors compliance with all applicable external agency regulations.
Ensures compliance with all personnel to safety standards, Hazardous Materials Management program, Universal Precautions, and Infection Control.
Human Resource Management
Demonstrates sound management and leadership principles.
Promotes employee growth and development through effective use of resources.
Uses effective interviewing skills to hire qualified and compassionate staff.
Coaches for success and uses progressive counseling for sub-standard performance.
Demonstrates awareness of and ability to apply knowledge of current developments in healthcare.
Accountability
Performs active daily management to ensure that operations are efficient and achieve a state of continual regulatory readiness.
Set and holds standards for performance, patient care delivery, and department operations.
Maintains confidentiality of all patient and hospital related communications, documents, and records.
Maintains clinical and management skills and expands knowledge base.
Performs required duties in accordance with prescribed hospital policies and procedures.
Maintains a positive attendance record and is prompt in reporting to work.
Assesses personal learning needs and utilizes available resources in selfdevelopment to address learning opportunities.
Demonstrates active listening skills and treats all contacts with dignity and respect.
Accomplishes objectives within prescribed time frames by prioritizing and organizing workload.
Ability to work under stressful situations while maintaining a positive attitude.
Qualifications
QUALIFICATIONS/JOB REQUIREMENTS:
EDUCATION:
Bachelor degree in Nursing or in progress of obtaining BSN. Master's Degree preferred.
EXPERIENCE:
At least one year of supervisory experience required or at least 3 years of charge nurse experience.
CERTIFICATIONS/LICENSURE:
Current California RegisteredNurse License. Certification in area of specialty preferred.
Current BLS/ ACLS through American Heart Association
OTHER SKILLS, ABILITIES & KNOWLEDGE:
Effective written and verbal communication skills; able to communicate with various
individuals both inside and outside the organization; and able to understand and
create reports/presentations/proposals.
Proficient with computer systems including but not limited to MS Office.
$90k-122k yearly est. Auto-Apply 13d ago
RN - Clinical Care
AHMC Healthcare 4.0
Registered nurse case manager job at AHMC Healthcare
This position is exclusively intended for RN graduates. New RN graduates with less than 1 year RN working experience are welcomed.
The RN will be participating in a program were he/she will be educated to provide care, treatment, counseling and health education to patients in department.
Responsibilities
The RegisteredNurse will support the Medical Surgical and Telemetry Department initiative and provide quality patient care Manages individualized, goal-directed nursing care through use of the nursing process and the principles of primary nursing in accordance with departmental and hospital policies and procedures.
The RegisteredNurse will provide care that includes physical assessment, treatment, reassessment, discharge planning, and health education to the patient. The RN is responsible for planning and coordination of care across the continuum. This planning and coordination includes meeting and exceeding compliance with core measures, contributes to reduction in LOS, active participation with all aspects of quality, safety and performance improvement activities, collaboration with all the members of the multidisciplinary team in providing outstanding customer service to patients, family members, physicians and the public. Meets and exceeds the Department of Health Service (DHS), The Joint Commission (TJC) and other regulatory requirements.
Qualifications
Nursing School Graduate
BSN preferred
New Grad RN with less than 1 year RN working experience welcome
Demonstrated proficiency in acute care nursing, knowledge and skills
Proficiency in both written and oral English
Basic computer skills
Current RN license in the state of California
Current BLS
ACLS within 6 months of hire
Hospital Description
Greater El Monte Community Hospital
$65k-108k yearly est. Auto-Apply 60d+ ago
2E RN - Clinical 12 HR FT Nights
Ahmc Healthcare Inc. 4.0
Registered nurse case manager job at AHMC Healthcare
JOB SUMMARY: Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation and evaluation. Responsible for directing and coordinating all nursing care based on established clinical nursing care for patients the medical surgical services based on established clinical nursing practice standards. Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Serves as the Resource nurse role when oriented and as directed. Supports the organization vision and mission. Utilizes knowledge of patient's age, developmental status, spiritual and cultural diversity into the provision of patient care. Contributes to the provision of quality nursing care through performance improvement techniques that demonstrate positive outcomes in patient care.
EDUCATION, EXPERIENCE, TRAINING
Graduate of an accredited school of professional nursing certificate. Licensure in the state of California as a RegisteredNurse (RN). Proficient in oral and written communication skills. Ability to practice leadership, interpersonal skills, communication skills, teamwork, quality improvement and professionalism.
BCLS, ACLS, (AHA) NIHS Stroke Cert current.
Proficiency in both written and oral English
1 Year acute experience.
$65k-108k yearly est. Auto-Apply 13d ago
L & D RN - Clinical 12 HR FT Nights
AHMC Healthcare 4.0
Registered nurse case manager job at AHMC Healthcare
JOB SUMMARY: Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation and evaluation, provided to the women and newborns during the antepartum, intrapartum, postpartum and neonatal stages of the childbirth process. The L&D RN is responsible for directing and coordinating all nursing care based on established clinical nursing care in the Labor and Delivery Department setting, including, but not limited to, providing labor support and education, monitoring maternal & fetal conditions, and monitoring the mother`s and baby`s vital signs during labor & birth, and managing a variety of potential issues that may arise. Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Serves as the Resource nurse role when oriented and as directed. Supports the organization's vision and mission. Utilizes knowledge of patient's age, developmental status, spiritual and cultural diversity into the provision of patient care. Contributes to the provision of quality nursing care through performance improvement techniques that demonstrate positive outcomes in patient care.
The Labor and Delivery RN provides direct care, communicates with physicians / Nurse Director / Co - workers, as appropriate about changes in the patient's clinical situation including results of diagnostic studies and is able to respond quickly and accurately to changes in situation or response to treatment.
EDUCATION, EXPERIENCE, TRAINING
Graduate of an accredited school of professional nursing certificate. Licensure in the state of California as a RegisteredNurse (RN). Proficient in oral and written communication skills. Ability to practice leadership, interpersonal skills, communication skills, teamwork, quality improvement and excellent customer service, and professionalism.
Current California RN license upon hire and maintained.
Required Experience: •minimum successful 1 year Couplet care or L&D experience •
Required Education: Graduate of approved nursing program certificate
BCLS, ACLS, NRP (AHA), upon hire.
Basic Fetal Monitoring certificate upon hire, if no current Intermediate/ Advanced Fetal Monitoring course.
Other certificates: Breastfeeding Training PT 1 & PT 2, and Intermediate/Advanced Fetal monitoring, within 6 months of hire,
Proficiency in both written and oral English Other languages Spanish, Chinese (Mandarin/Cantonese) preferred.
$65k-108k yearly est. Auto-Apply 23d ago
2E RN - Clinical 12 HR FT Nights
AHMC Healthcare 4.0
Registered nurse case manager job at AHMC Healthcare
JOB SUMMARY: Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation and evaluation. Responsible for directing and coordinating all nursing care based on established clinical nursing care for patients the medical surgical services based on established clinical nursing practice standards. Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Serves as the Resource nurse role when oriented and as directed. Supports the organization vision and mission. Utilizes knowledge of patient's age, developmental status, spiritual and cultural diversity into the provision of patient care. Contributes to the provision of quality nursing care through performance improvement techniques that demonstrate positive outcomes in patient care.
EDUCATION, EXPERIENCE, TRAINING
Graduate of an accredited school of professional nursing certificate. Licensure in the state of California as a RegisteredNurse (RN). Proficient in oral and written communication skills. Ability to practice leadership, interpersonal skills, communication skills, teamwork, quality improvement and professionalism.
BCLS, ACLS, (AHA) NIHS Stroke Cert current.
Proficiency in both written and oral English
1 Year acute experience.
$65k-108k yearly est. Auto-Apply 13d ago
ICU RN - Clinical 12 HR FT Nights
AHMC Healthcare 4.0
Registered nurse case manager job at AHMC Healthcare
JOB SUMMARY: Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation and evaluation. Responsible for directing and coordinating all nursing care based on established clinical nursing care for patients the medical surgical services based on established clinical nursing practice standards. Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Serves as the Resource nurse role when oriented and as directed. Supports the organization vision and mission. Utilizes knowledge of patient's age, developmental status, spiritual and cultural diversity into the provision of patient care. Contributes to the provision of quality nursing care through performance improvement techniques that demonstrate positive outcomes in patient care.
EDUCATION, EXPERIENCE, TRAINING
Graduate of an accredited school of professional nursing. Licensure in the state of California as a RegisteredNurse (RN). Proficient in oral and written communication skills. Ability to practice leadership, interpersonal skills, communication skills, teamwork, quality improvement and professionalism.
Current California RN license
Current and maintain BCLS, ACLS (AHA), Basic Dysrhythmia, NIHS Stroke certificates
Proficiency in both written and oral English
1 Year acute experience.
$65k-108k yearly est. Auto-Apply 13d ago
3E RN - Clinical 12 HR FT Nights
AHMC Healthcare 4.0
Registered nurse case manager job at AHMC Healthcare
JOB SUMMARY: Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation and evaluation. Responsible for directing and coordinating all nursing care based on established clinical nursing care for patients in the medical surgical/Tele services based on established clinical nursing practice standards. Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Serves as the Resource nurse role when oriented and as directed. Supports the organization vision and mission. Utilizes knowledge of patient's age, developmental status, spiritual and cultural diversity into the provision of patient care. Contributes to the provision of quality nursing care through performance improvement techniques that demonstrate positive outcomes in patient care.
EDUCATION, EXPERIENCE, TRAINING
Graduate of an accredited school of professional nursing certificate. Licensure in the state of California as a RegisteredNurse (RN). Proficient in oral and written communication skills. Ability to practice leadership, interpersonal skills, communication skills, teamwork, quality improvement and professionalism.
Current California RN license
BCLS, ACLS (AHA) , current and maintain.
NIHSS certification maintain and current..
Preferred Chemotherapy
Proficiency in both written and oral English
Basic Dysrhythmia certificate preferred
1 Year acute experience preferred
$65k-108k yearly est. Auto-Apply 60d+ ago
4W RN - Clinical 12 HR FT Nights
AHMC Healthcare 4.0
Registered nurse case manager job at AHMC Healthcare
JOB SUMMARY: Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation and evaluation. Responsible for directing and coordinating all nursing care based on established clinical nursing care for patients the medical surgical services based on established clinical nursing practice standards. Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Serves as the Resource nurse role when oriented and as directed. Supports the organization vision and mission. Utilizes knowledge of patient's age, developmental status, spiritual and cultural diversity into the provision of patient care. Contributes to the provision of quality nursing care through performance improvement techniques that demonstrate positive outcomes in patient care.
EDUCATION, EXPERIENCE, TRAINING
Graduate of approved nursing program certificate.
Current California RN license
Current PALS, ACLS and BCLS (AHA) NIHS Stroke Cert. (AHA
Proficiency in both written and oral English
Basic Dysrhythmia certificate preferred
1 Year acute experience preferred
$65k-108k yearly est. Auto-Apply 20d ago
Staff RN Per Diem
Ahmc Healthcare Inc. 4.0
Registered nurse case manager job at AHMC Healthcare
This position is responsible for providing patient care in a safe and effective manner. Responsibilities include directing PCA activity, synthesizing patient information, assessment of patients, planning of care/intervention, teaching ofpatients/family, implementation of treatment plan, MD orders, documentation and evaluation. Integration of patient carestandards are incorporated into all clinical activities.This position requires the full understanding and active participation in fulfilling the mission of AHMC Anaheim RegionalMedical Center. It is expected that the employee demonstrate behavior consistent with the core values of AHMCAnaheim Regional Medical Center and AHMC Healthcare Inc. The employee shall support AHMC Anaheim RegionalMedical Center's strategic plan and goals and direction of the performance improvement plan. The employee will alsobe expected to support all organizational expectations including, but not limited to; Customer Service, Patient's Rights,Confidentiality of Information, Environment of Care and other initiatives.
Qualifications
EDUCATION/TRAINING/EXPERIENCEGraduate of RN School of Nursing; BSN preferred.One year acute care experience preferred.Basic computer skills preferred.LICENSES/CERTIFICATIONSCurrent CA RN license Current BLS-HCPCurrent ACLS (Excludes NICU) Current NRP (Labor & Delivery / OB Acute / NICU) Current PALS (Emergency Dept. only) Basic Dysrhythmia Class completion: Optional for RN with at least 6 months experience, and successful completion of EKG competency exam Unit specific certification:
Labor & Delivery: Basic Fetal Monitoring 1
Advanced Fetal Monitoring (AWHONN) 2NRP 3Basic Dysrhythmia 3
MAB
$77k-117k yearly est. Auto-Apply 21d ago
Staff RN II
Ahmc Healthcare Inc. 4.0
Registered nurse case manager job at AHMC Healthcare
This position is responsible for providing patient care in a safe and effective manner. Responsibilities include directing PCA activity, synthesizing patient information, assessment of patients, planning of care/intervention, teaching ofpatients/family, implementation of treatment plan, MD orders, documentation and evaluation. Integration of patient carestandards are incorporated into all clinical activities.This position requires the full understanding and active participation in fulfilling the mission of AHMC Anaheim RegionalMedical Center. It is expected that the employee demonstrate behavior consistent with the core values of AHMCAnaheim Regional Medical Center and AHMC Healthcare Inc. The employee shall support AHMC Anaheim RegionalMedical Center's strategic plan and goals and direction of the performance improvement plan. The employee will alsobe expected to support all organizational expectations including, but not limited to; Customer Service, Patient's Rights,Confidentiality of Information, Environment of Care and other initiatives.
Qualifications
EDUCATION/TRAINING/EXPERIENCEGraduate of RN School of Nursing; BSN preferred.One year acute care experience preferred.Basic computer skills preferred.LICENSES/CERTIFICATIONSCurrent CA RN license Current BLS-HCPCurrent ACLS (Excludes NICU) Current NRP (Labor & Delivery / OB Acute / NICU) Current PALS (Emergency Dept. only) Basic Dysrhythmia Class completion: Optional for RN with at least 6 months experience, and successful completion of EKG competency exam Unit specific certification: