What are the responsibilities and job description for the Registered Nurse - Case Manager @ Sutter Health Alta Bates Summit Medical Center Hawthorne position at Alta Bates Summit Medical Center - Oakland?
Details
Client Name
Alta Bates Summit Medical Center - Oakland
Job Type
Travel
Offering
Nursing
Profession
Specialty
Case Manager
Job ID
30652451
Job Title
Registered Nurse - Case Manager @ Sutter Health Alta Bates Summit Medical Center Hawthorne
Weekly Pay
2579.0
Shift Details
Shift
Day - 8x5 - 08AM
Scheduled Hours
Job Order Details
Start Date
03 / 10 / 2025
End Date
06 / 09 / 2025
Duration
13 Week(s)
Job Description
Job Title : Registered Nurse Case Manager
Job Specialty : Case Management
Job Duration : 13 weeks
Shift : Day Shift, 5x8-Hour (08 : 00 - 16 : 30), Every Other Weekend
Guaranteed Hours : Not specified
Experience : Minimum 5 years of RN Case Management experience
License : CA RN License
Certifications : BLS
Must-Have : Epic experience preferred
Job Description :
- Responsible for care coordination and care transitions planning throughout the acute care patient experience.
- Collaborate with physicians, utilization managers, medical social workers, and bedside RNs to ensure the timely progression and transition of patients to the appropriate level of care to prevent unnecessary admissions or readmissions.
- Facilitate communication and care coordination across the continuum through effective resource management.
- Work towards achieving optimal health, access to care, and appropriate utilization of resources while respecting patients' self-determination.
- Collaborate with patients, families, physicians, the interdisciplinary team, nursing management, quality services, ancillary services, third-party payers, review agencies, claims and finance departments, medical directors, contracted providers, and community resources.
- Address complex clinical and social situations efficiently to avoid unnecessary admissions when assigned to the Emergency Department.
- Conduct initial and continued patient assessments, gathering medical, psychosocial, and financial information to determine risk levels for readmission.
- Develop comprehensive, cost-effective care coordination plans in collaboration with the health care team.
- Identify and refer quality and risk management concerns for patient safety reporting and trending.
- Manage utilization by reviewing medical records to ensure continued patient suitability for their level of care.
- Expedite transition planning for patients who no longer require acute care and coordinate financial counselor interactions for inpatient stay denials.
- Participate actively in patient rounds and collaborate with the interdisciplinary team for timely transitions.
- Formulate transition plans after reviewing care options and collaborating with patients, families, healthcare teams, payers, and community support services.
- Proactively identify barriers to care progression and transition, resolving them with the multidisciplinary team.
- Assess follow-up appointment needs and communicate with patients and families prior to transitions.
- Ensure compliance with regulatory requirements for post-acute transfers.
- Identify high-utilization patients in the Emergency Department and make appropriate care plans and referrals.
- Address complex psychosocial issues and make referrals as appropriate.
- Communicate with financial counselors regarding uninsured or underinsured patients and make necessary referrals.
- Actively participate in departmental operations, contributing to the creation of cost-effective practices.
- Maintain effective communication with care management colleagues to ensure safe transitions.
- Use interpersonal and communication skills to foster customer service and positive relationships within the healthcare team and community agencies.
- Provide and receive constructive feedback from colleagues and the leadership team.
- Manage module completion during orientation with specified hours.
Client Details
Address
350 Hawthorne Ave
City
Oakland
State
Zip Code
94609
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