Demo

After Hours, Inpatient Case Managers LVN/RN

Regal Medical Group, Inc.
Los Angeles, CA Full Time
POSTED ON 2/13/2025
AVAILABLE BEFORE 4/17/2025

Job Description

Position Summary :

The Inpatient Case Manager is responsible for the assessment, treatment planning, intervention,

monitoring, evaluation and documentation on identified patients during an acute care episode.

Assesses and develops a plan of care in collaboration with the admitting, attending and consultant

physicians, and other healthcare practitioners. The goal of the Inpatient Case Manager is to effectively

manage the patients during their hospitalization to assure the appropriate level of care is provided for

the patient's current severity of illness, utilizing the appropriate tests and diagnostics, in the appropriate

facilities in order to provide the highest level of care, in the most efficient manner, while utilizing only

the resources necessary for that episode of care. The Inpatient Case Manager is also responsible for

developing a safe discharge plan and implementing the discharge plan for patients with the necessary

resources to ensure that care is provided without interruption along the continuum of care, whether in

a skilled nursing facility, assisted living facility, in the home setting, etc. The Inpatient Case Manager will

plan, coordinate, and collaborate with internal departments to ensure the patient is receiving the best

coordination of care. The Inpatient Case Manager will document based on regulatory and contractual

guidelines established by Federal, State, Local and Health plan guidelines, along with policies and

procedures established by the Medical Management department.

Essential Duties and Responsibilities include the following :

  • Perform clinical review upon admission and daily while patient is hospitalized
  • Assure appropriate level of inpatient care
  • Monitor inpatient stay to prevent delays in services and / or report aberrancy's.
  • Identify and resolve barriers or potential barriers to safe transition and outpatient management.
  • Coordinate and assure all services for care transitions including transfer to lower levels of care,

transfer to outpatient management, etc.

  • Educate members on post discharge instructions, outpatient physician follow-up, appropriate
  • use of urgent care, and appropriate use of ER services.

  • Initiate and hand off case to Skilled Nursing Case Managers or Outpatient Management
  • Programs (i.e. Vital Care, Hospice, etc) as appropriate.
  • Timely response to member needs - act in the moment.
  • Coordinate care for patients in the Emergency Room or Urgent Care to avoid an unnecessary
  • NOTE : This document is intended to describe the general nature and level of work performed. It is not intended to serve as
  • an exhaustive list of all duties, skills and responsibilities required of personnel so classified.

    acute inpatient admission.

  • Timely documentation based on regulatory and contractual guidelines established by Federal,
  • State, Local and Health plan guidelines, along with policies and procedures established by the

    Medical Management department.

  • Creating and approving referrals for admissions and outpatient services based on Medical
  • Management guidelines.

  • Creating letters for patients based on regulatory and contractual guidelines established by
  • Federal, State, Local and Health plan guidelines, along with policies and procedures established

    by the Medical Management department.

  • Uses, protects, and discloses patients' protected health information (PHI) only in accordance
  • with Health Insurance Portability and Accountability Act (HIPAA) standards.

  • Consistently exhibits behavior and communication skills that demonstrate commitment to
  • superior customer service, including quality care and concern with each and every internal and

    external customer.

  • Seek assistance and escalate issues when needed from the Administrator on call, or Regional
  • Medical Director on call for clinical oversight and decision making.

  • Participate in weekend rounds with Regional Medical Director and Hospitalists.
  • Perform other duties as assigned.
  • The pay range for this position at commencement of employment is expected to be between for LVN's$37.50 - $40 per hour or for RN's $45 - $50 per hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.

    The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and / or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.

    Details of participation in these benefit plans will be provided if an employee receives an offer of employment.

    If hired, employee will be in an "at-will position" and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department / team performance, and market factors.

    As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

    Full Time Position Benefits :

    The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.

    Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.

    Health and Wellness :

  • Employer-paid comprehensive medical, pharmacy, and dental for employees
  • Vision insurance
  • Zero co-payments for employed physician office visits
  • Flexible Spending Account (FSA)
  • Employer-Paid Life Insurance
  • Employee Assistance Program (EAP)
  • Behavioral Health Services
  • Savings and Retirement :

  • 401k Retirement Savings Plan
  • Income Protection Insurance
  • Other Benefits :

  • Vacation Time
  • Company celebrations
  • Employee Assistance Program
  • Employee Referral Bonus
  • Tuition Reimbursement
  • License Renewal CEU Cost Reimbursement Program
  • Business-casual working environment
  • Sick days
  • Paid holidays
  • Mileage
  • Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.

    Requirements

    Education and / or Experience :

  • Graduate from an accredited Registered Nursing Program or Licensed Vocational Nursing
  • Program.

  • Current California License
  • Knowledge of Healthcare and Managed Care preferred.
  • At least 2 years of clinical experience in the acute care setting and discharge planning experience
  • Typing 40 words per minutes with accuracy.
  • Knowledge of computers, faxes, printers and all other equipment.
  • Knowledgeable in MS Office programs (i.e., Word, Excel, and Outlook).
  • Ability to handle confidential matters.
  • Salary : $38 - $40

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