CHA Hollywood Presbyterian (CHA HPMC) is a nationally recognized acute care facility that has been caring for the Hollywood community and Los Angeles Areas since 1924.
Join our Global Network and be a CHA Global Ambassador
CHA HPMC is also a part of the world-renown CHA Health System (CHS). CHS has CHA University which consists of 14 education institutions including medical school, nursing school and pharmacy. CHA global network operates 81 hospitals and specialty clinics, 30 research and 31 bio/pharmaceutical/healthcare companies with 14,000 employees in seven countries.
Our New Facility is seeking for Top Talents
The best women's hospital in Los Angeles is looking for current RN candidates to staff Operating Room, Emergency Department, Labor & Delivery and Mother-Baby care units to be housed in our expanding new patient tower facility scheduled to open next year. Come be a part of this dedicated and caring team right in the heart of Hollywood.
Position Summary:
The fundamental focus of the case manager is to integrate, coordinate, and advocate for individuals, families, and groups requiring extensive services to achieve desirable patient outcomes, efficient utilization of resources, patient satisfaction and involvement, and appropriate lengths of stay.
Assessing all patients based on appropriate criteria (severity of illness/intensity of service) for acute care and admission in appropriate setting (ICU, Med/Surg, OB, Peds, Rehab)
Interviewing the patients or significant others to identify post hospital care needs within a timely manner and arrange ancillary service needs identified (HHC, HME, Hospice, transport, etc)
Coordinating patient transfers between facilities
Assessing the patient for appropriate level of care using the Severity of Illness/Intensity of service criteria
Referring appropriately to allied health personnel and community resources
Providing clinical consultation on difficult cases or initiates multidisciplinary care consultations as needed relating to acute care or alternative levels of care
Exhibiting open communication with physicians and Physician Advisors to facilitate discharge plans and provide the highest quality of care using established criteria
Serving as a resource for physicians, hospital staff, and outside agencies in reference to insurance criteria and governmental regulation
Delivering letters of denial, re-determination, and/or referrals to patients, MDs, and billing office upon notification
Assisting nursing in communicating to Health Department regarding TB screening for authorized discharges
During interview process may need to assist patient (turn, lift up, etc.)
Maintaining confidentiality of departmental and patient's information
Demonstrating knowledge of age specific care, including but not limited to, identifying the need for additional safety measures, physiological normal values/readings; and assessing skin integrity, behavior, motor skills and/or activities that place patients at risk as well as communicates effectively in a clear, concise, understandable manner. Applicable for all populations, infant, pediatric, adult, geriatric
Pulling files for TARs requested by Physicians required for billing
Appealing errors discovered in authorization process relative to payers criteria and process
Minimum Education:
Graduate of an accredited RN Program
Preferred Education:
Completion of Case Management Course
Preferred Minimum Work Experience and Qualifications:
Minimum two years' experience as a RN in an acute care setting
Ability to communicate effectively verbally and in writing
Must be able to work in a union environment
Preferred Work Experience and Qualifications:
Minimum two years as a Case Manager
Required Licensure, Certification, Registration or Designation:
AHA BLS Card
Current Los Angeles County Fire Card required (within 30 days of employment)
Shift:
Days
Hours:
8
Shift Hours:
7:00am - 3:30pm
Type:
Per-Diem
FTE:
0.2