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Providence Health & Services Case Manager RN *On Call Days* in Burbank, California

Description:

Apply today! Applicants that meet qualifications will receive a text with additional questions from our MODERN HIRE screening and interview system.

Providence is calling a RN - Case Manager (On Call/Day shift) to Providence St Joseph Medical Center in Burbank, CA.

Please upload a current resume reflecting all professional nursing experience.

We are seeking a Case Manager (RN) who will facilitate communication and care coordination along a continuum through effective transitional care management. Recognizing the patient's right to self-determination, the significance of the social determinants of health and the complexities of care.

The goals of Case Management include the achievement of optimal health, access to services, advocacy, appropriate utilization of resources and collaboration with post-acute care providers to ensure patient's needs are met in the community. The Care Manager utilizes the following processes to meet the patient's individual healthcare needs: assessment, planning/intervention, implementation, care coordination, monitoring, evaluation of the plan of care and communication.

In this position you will have the following responsibilities:

  • Assessment: The Care Manager will collect in-depth information about a persons’ situation and functional status to identify individual needs in order to develop a comprehensive plan of care that will address the patient’s needs. The Care Manager will identify both present and possible future needs of the patient and family, which may affect the plan of care and the patient’s well-being. This assessment will include age-specific physical, psychosocial, environmental, financial, and health status expectations.

  • Planning: The Care Manager will identify specific objectives, goals and actions, as identified during the assessment process. Acting as a patient advocate the Care Manager will collaborate with the physician, the patient & family, and members of the healthcare team, to formulate a shared plan of care. Educating the patient, the family or caregiver, and members of the health care delivery team about treatment options, community resources, insurance benefits, psychosocial concerns, case management, etc., so that timely and informed decisions can be made. Goals and time frames for goals, appropriate to the patient, will be set.

  • Implementation: Executes specific interventions that will lead to accomplishing the goals and timeframes of the shared plan of care, Works effectively with the healthcare team to determine the necessary steps to achieve the plan of care. Problem solving techniques will be applied to the implementation process. The Care Manager will utilize knowledge of alternative funding sources, benefit plans, and contractual information to promote appropriate quality, cost effective care for members throughout the healthcare continuum.

  • Coordination: Organizes, coordinates, provides, modifies or obtains appropriate authorizations, utilizing appropriate utilization review and evidence of coverage guidelines, to accomplish the patient’s goals. Initiates and communicates with the patient and family, physicians, healthcare members, community and payor representatives. Facilitates continuity of care throughout all access points involving Health Plan, discharge planners, physicians and other appropriate staff.

  • Monitoring: Obtains sufficient information from all relevant resources in order to determine the effectiveness of the plan of care, and services provided. Manages a caseload of high risk, complex needs and/or catastrophic patients.

  • Evaluation: At appropriate and repeated intervals, assesses and reassesses the patients’ progress. If progress is static or regressive, determines the reason and encourages the appropriate interventions to obtain optimal outcomes. The Care Manager will modify the plan of care, as necessary, in coordination with the healthcare team, family members, and providers.

  • Communication: Communicates both verbally and electronically with the patient and the healthcare team. Appropriately documents of the plan of care, outcomes, statistical reporting, logs, and files abiding to departmental, legal and regulatory requirements.

  • Adheres to all Regulatory Requirements related to patient care.

  • Accuracy and completeness of documentation.

  • Start the discharge planning on admission to evaluate probable post-acute needs and target a transition date.

  • Responsible for the established Ministry and Regional metrics. Monitoring specific CM/SW outcomes. Participates in regional and system directives.

  • Actively participates/facilitates care coordination rounds and patient/family conferences.

  • Maintains knowledge of Providence policies including those affecting the Care Management practice.

  • Attends department caregiver meetings.

  • Accepts weekend assignments as requested or required by the department. Available for on-call assignments (voluntary)

  • Participates in Transitions in Practice (TIP) program for Care Managers as a Preceptor as approved by department leadership.

  • Performs other duties as assigned to meet the goals of the department and ministry.

Qualifications:

Required qualifications for this position include:

  • Bachelor's Degree

  • ​​​​​​All Registered Nurses without a minimum of a Bachelor’s degree in Nursing must obtain a Bachelor’s degree in Nursing or higher within 3 years of hire.

  • Any previously agreed upon effective date for obtaining a Bachelor’s degree in nursing between individual and facility will remain in effect.

  • Any collective bargaining contract with specific time frames for obtaining a Bachelor’s degree in nursing will supersede the above point and will remain in effect.

  • Exceptions will be considered on a case-by-case basis at each ministry by the Director of Care Management in consultation with the Human Resources.

  • RNs employed prior to 8/2021 are encouraged to obtain a Bachelor’s degree or higher degree in Nursing, but obtaining the degree will not be a condition of employment.

  • California State Registered Nurse License

  • Two (2) years experience in Healthcare related field (Acute, Ambulatory, Post-Acute, etc)

  • Two (2) years experience in Case Management (Care Coordination or Utilization Management) or successful completion of the Transitions in Practice (TIP) program for Care Manager. TIP candidates must have experience in the same type of nursing unit in which teh CM position is available.

  • Demonstrated problem solving skills

  • Strong verbal communication and listening skills

  • Demonstrated customer service skills

  • Excellent collaboration and team building skills

  • Effective interpersonal skills

  • Assumes personal responsibility for actions

  • Demonstrated ability to maintain confidential information

  • Demonstrates excellent judgment and decision making skills

  • Excellent organizational skills

  • Highly thorough and dependable

  • Friendly and service-oriented

  • Maintains a high degree of professionalism

  • Maintains composure under pressure

  • Performs work independently with minimal supervision

  • Possesses flexibility to work in a fast paced, dynamic environment

  • Seeks to acquire knowledge in area of specialty

  • Demonstrated time management and priority setting skills

  • Demonstrates a high commitment to quality

  • Basic computer skills, Word, Excel, Access, PowerPoint, etc.

  • Knowledge regarding State and Federal regulations.

  • Knowledge of the principles and practices of Case Management and Healthcare.

  • Knowledge of physical and psychological characteristics of disease processes, recognizes potential clinical problems, and recommends intervention in a preventative, pro-active way.

  • Ability to access and evaluate community resources to meet patient’s needs.

  • Knowledge and skills necessary to communicate with third party payers.

​​​​​​Preferred qualifications for this position include:

  • Bachelor's Degree in Nursing

  • Master's Degree in Healthcare related field

  • Certification in Case Management (ACM or CCM)

  • Knowledge of CPT, IDC-9 Coding

About the hospital you will serve.

Providence Saint Joseph Medical Center in Burbank, CA, is a 392-bed acute care facility founded over 75 years ago by the Sisters of Providence. Known for our state-of-the-art technology and high quality, compassionate care, we provide the full range of diagnostic, treatment, care and support services for the San Fernando Valley communities.

We provide many specialized services and treatment capabilities. Our Heart and Vascular center delivers care with one of Los Angeles County's first STEMI designated receiving centers for heart attack victims. The Hycy and Howard Hill Neuroscience Institute, which supports our Certified Comprehensive Stroke Center, continues to grow inpatient and outpatient programs addressing stroke, Parkinson’s, and brain tumors. Maternal Child Health Services, including a level 3 NICU, support whole family care with 24/7 on site labor support and community education. The Roy and Patricia Disney Family Cancer Center, a comprehensive, state-of-the-art, patient-centered, treatment facility. Our cancer center includes some of the most advanced technology in radiation oncology, highly advanced medical and surgical oncology providers, excellent clinical outcomes and research, and all patient support services are housed in the same building. Our exceptional orthopedic program has recognized for its excellent outcomes and clinical expertise. Our Bariatric Program, a leader and resource for those dealing with obesity in Southern California, received a Five-Star Rating for Bariatric Surgery. In the fall of 2022 we will open our brand new, state-of-the-art Emergency Department which will triple our capacity to care for the community in their time of greatest need.

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

https://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: On Call

Shift: Day

Job Category: Case Management

Location: California-Burbank

Req ID: 322975

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