Travel Nurse RN - Case Manager - $2,819 per week in Oakland, CA

TravelNurseSource

Oakland, CA

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JOB DETAILS

SALARY

$2,819–$2,819

SKILLS

Acute Care, Basic Life Support (BLS), Case Management, Certified Case Manager (CCM), Communication Skills, Cross-Functional, Customer Support/Service, Documentation, Emergency Care, Financial Planning, Health Plan, Healthcare, Leadership, Medical Record System, Medical Records, Nursing Management, Operational Improvement, Operations Processes, Palliative Care, Patient Assessment, Patient Care, Patient Care Denials, Problem Solving Skills, Process Improvement, Quality Assurance, Quality Management, Quality of Care, Record Keeping, Registered Nurse (RN), Regulations, Regulatory Compliance, Regulatory Requirements, Resource Utilization, Risk, Risk Management, Social Work, Team Lead/Manager, Team Player, Third-Party Payer, Time Management, Treatment Plan, Utilization Management

LOCATION

Oakland, CA

POSTED

Today

TravelNurseSource is working with Cynet Health to find a qualified Case Manager RN in Oakland, California, 94609!

Job Title: Case Manager RN Profession: Registered Nurse Specialty: Case Management Duration: 13 weeks Shift: Day Hours per Shift: 8 hours (08:00 - 16:30) Experience: 5+ years of RN Case Management experience License: State RN License Certifications: BLS Must-Have: Inpatient Acute Case Management experience Description: Case Manager RN needed for a day shift position. This role is responsible for care coordination and care transitions planning throughout the acute care patient experience. The Case Manager works in collaboration with physicians, utilization managers, medical social workers, and bedside RNs. The goal is to assure timely progression and transition of patients to the appropriate level of care. This aims to prevent unnecessary admissions or readmissions. The care management process encompasses communication and facilitates care across the continuum through effective resource coordination. The main objectives include achieving optimal health, access to care, and appropriate resource utilization. This must be balanced with the patients' self-determination. The Case Manager collaborates with patients, families, physicians, and the interdisciplinary team. The role also includes coordination with nursing management, quality assurance, ancillary services, and third-party payers. In the emergency department, the care management process focuses on addressing complex clinical and social situations efficiently. Job Responsibilities: Conduct patient assessments and continued evaluations. Review initial physician admission care plans. Gather additional medical, psychosocial, and financial information through interviews and medical records. Determine the risk level for readmission. Conduct screenings for ancillary supportive services, including palliative care needs. Supervise and lead the healthcare team in developing cost-effective care coordination plans. Identify and refer quality and risk management concerns. Direct and oversee case management assistants in determining preferences for post-acute care services. Review medical records to ensure that patients continue to meet level of care requirements. Work with attending physicians to confirm necessary documentation. Facilitate transition planning for patients no longer requiring acute care. Monitor length of stay and address outliers requiring additional resources or focus. Collaborate with financial counselors regarding inpatient stay denials. Deliver necessary information in compliance with regulations. Participate actively in patient rounds and collaborate with interdisciplinary teams. Document consistently in the electronic health record and maintain knowledge of regulatory requirements. Formulate transition plans while collaborating with patients, families, and the healthcare team. Proactively identify barriers to care progression and work with multidisciplinary teams to resolve them. Review and modify the plan of care as necessary. Communicate follow-up appointment needs to patients and families prior to transition. Ensure necessary paperwork for post-acute transfers complies with regulations. Identify high utilizers and make appropriate care plans and referrals to community resources. Develop and maintain positive relationships with the healthcare team and community agency representatives. Contribute actively to department operations and process improvements. Engage positively and constructively with colleagues and the leadership team. Utilize effective communication skills to promote customer service. Relate with respect and consideration to all customers. Maintain an engaged and constructive approach toward departmental operations. Provide and accept constructive feedback among colleagues. Use effective communication skills to resolve issues promptly.

About the Company

TravelNurseSource

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