RN Case Manager

The RN Case Manager will work collaboratively with surgeons and patient/family in developing, implementing and documenting individualized plans of care to ensure continuity, quality and appropriate resource use.


• Plan, develop, assess and evaluate care to patients.


• Recommend alternative levels of care.


• Develop and coordinate discharge plan to meet patients identified needs.


• Review, monitor, evaluate and coordinate patient's hospital stay to assure that all appropriate and essential services are delivered timely and efficiently.


• Coordinate and provide continuity of care, including utilization management, transfer coordination, discharge planning, and obtaining authorizations/approvals as needed for outside services for patients/families.


• Conduct daily clinical reviews for quality management activities based on guidelines/standards for patients in a variety of settings, including outpatient, emergency room, inpatient facilities.


• Report any incident of unusual occurrences related to quality, risk and/or patient safety which are identified during case review or other activities.


Required:


• 2+ years combined RN and case management experience


• RN License (California)


• BLS


• Working knowledge of regulatory requirements and accreditation standards


• Effective written and verbal communication, interpersonal, critical thinking and problem-solving skills


• Ability in planning, organizing, and negotiating


• Plus: craniofacial exp
Case Management or Utilization Management