RN-Case Manager

Position RN Case Manager – Case Management Department (Kaweah Health) Overview Kaweah Health is a publicly owned, community‑healthcare organization serving the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health maintains a 613‑bed, eight‑campus healthcare district offering comprehensive health services across a broad continuum of care. The organization is committed to delivering personal, professional, and compassionate care. Shift & Benefits Full‑time, Day – 8 hour or less shift (United States of America). Eligible for full‑time benefits. Responsibilities Identify needs and facilitate provision of services with physicians, nurse managers, and multidisciplinary team members as patients move through the continuum of care. Act as a resource for clinical care issues, develop action plans, and facilitate communication with appropriate physician(s). Assist and communicate with physician offices and all appropriate departments regarding new admissions and demographic data that may affect patient care. Evaluate the assessment process for new patients within 30 days, develop Care Management Plans addressing Social Determinants of Health (SDOH) barriers. Establish specific plans with action steps for each patient, collaborating with the patient/family, care team, and physician(s) to determine goals and objectives that incorporate physical and psychological factors. Lead the assessment of care plan progression and revise the plan as necessary. Round with physicians and multidisciplinary team and coordinate with the team to ensure graduation‑planning goals and objectives are developed and modified as needed. Lead the timely, cost‑effective, and safe movement of patients through the continuum of care, organize and integrate resources, and supervise implementation of the treatment plan. Document in the electronic health record—patient progress notes, significant data, problems, assessment needs, and treatment goals—and make timely referrals for services. Evaluate care plan appropriateness, monitor progress, and suggest appropriate care levels when changes arise. Review medical records for proper documentation of services, evidence of functional progress, and adjust the plan of care as appropriate. Provide patient/family advocacy, support patient autonomy, confidentiality, and ethical decision‑making. Qualifications License / Certification: California RN license; BLS; Preferred: BSN, MSN, or current RN‑BSN student. Experience: Two years of acute‑care clinical nursing experience (LVN/RN) with at least one year as an RN. Department‑Specific Requirements Emergency Department: Must have three years of RN experience in an Emergency Department or Critical Care setting. Addendum – Specialized Functions Post Acute Care Case Manager: Review and screen 100% of patients, interview, gather data to formulate post‑acute plans, facilitate efficient transfer to TCS with proper documentation. Program Liaison for Inpatient Rehabilitation: Implement patient programs, orient patients/families, facilitate discharge, coordinate follow‑up services. Cardiac Surgery Care Coordinator: Liaison to patients, families, and cardiac team; provide updates during surgery, coordinate care with referral physicians, assist with discharge plans. Population Health RN Case Manager: Provide clinical resources for population health programs, address SDOH, communicate with multidisciplinary team. Pay range: $46.44 - $69.66. #J-18808-Ljbffr 01 Kaweah Delta Health Care District