RN - Case Manager

RN, Care Manager

Centered in the heart of a vibrant community, our facility has been a leading healthcare provider since 1952. We are comprised of a 190-bed hospital and several medical offices. We offer home care services, comprehensive cancer care, and a vast scope of award-winning services throughout the area. The community is known for its small-town charm, extensive vineyards, and delightful local restaurants and bakeries. Our close-knit community is also within proximity to major metropolitan cities, Lake Tahoe, and the Northern California coast.

The role involves providing excellent patient care by assisting in the collaboration, development, implementation, revision, and reporting of the case management program. You will act as a liaison between the patient, family, healthcare team, and the patient's healthcare benefactor to optimize outcomes. This position serves as a consultant to the healthcare team on specific patient items. You will coordinate a continuum of care for a defined population of patients from pre-admission through post-discharge. Ensuring patients and families proceed efficiently through the course of hospitalization is key to this role.

Education and Work Experience: A Bachelor's Degree in Nursing (BSN) is preferred. Experience in a care management role is preferred.

Essential Functions:

• Lead the coordination of patient care with other disciplines within the care team, monitoring the appropriateness and timeliness of care.
• Ensure the interdisciplinary care plan is consistent with the patient's clinical course, continuing care needs, and covered services.
• Discuss with physicians the appropriateness of resource utilization, consultations, treatment plans, estimated length of stay, and discharge plans.
• Focus on complex patients, frequent emergency department utilizers, chronic pain patients, substance abuse patients, and homeless patients.
• Collaborate with acute care case managers to ensure appropriateness of ongoing care.
• Coordinate the transfer of patients to tertiary centers, including the transfer of patient information required for continuity of ongoing treatment and services.
• Provide oversight and collect data required for regulatory and accreditation compliance.
• Manage frequent emergency department visitors by conducting a focused study review of previous and current admissions.

Organizational Requirements:

We are committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Participation in E-Verify is required. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. Dress code is business casual. This position requires floating to all floors and the emergency department. Rotating weekends may be required.