RN - Case Manager

Registered Nurse (RN), Care CoordinatorShift Information: 8-hour shifts, 8am - 4:30pm, weekends and weekdaysThe Care Coordinator is responsible for managing the care and services of assigned patients during an episode of illness or treatment. This role requires collaboration with the patient, their family, physicians, the patient care team, and payors. Utilizing advanced clinical skills, the Care Coordinator facilitates the provision of care based on the principles of assessment, planning, intervention, and evaluation within the nursing process.The Care Coordinator plays a critical role in promoting and evaluating efficient resource utilization, leveraging current clinical knowledge and community service awareness, while leading the patient care team to achieve optimal clinical and resource outcomes. Key responsibilities include:Evaluating and analyzing quality and utilization cases, including admission/discharge criteria, observation and one-day stays, readmissions within 30 days, Medicare, and diagnosis-related criteria.Participating in ongoing outlier reviews.Potential assignment to the Emergency Department, collaborating with the multidisciplinary team to ensure patients progress efficiently through their emergency episode of care.Advocating for patients and their families throughout the care process.Maintaining availability as a resource for patients and families, facilitating communication among providers and monitoring the services rendered.Remaining involved until the patient is discharged or appropriately transferred to a higher level of care.Initiating appropriate clinical pathways based on admission diagnoses.Minimum Requirements:At least one year of recent case management experience in an acute care setting.Current California nursing licensure.Current Basic Life Support (BLS/BCLS) certification.Holiday Coverage: Required