Case Manager - Los Angeles - East Los Angeles Doctors Hospital

    East Los Angeles Doctors Hospital
    East Los Angeles Doctors Hospital Los Angeles

    1 week ago

    Default job background
    Full time
    Description

    Job Title: Clinical Resource Utilization Nurse Case Manager

    Job Summary:

    Under the general supervision of the CM Director, the nurse case manager manages clinical resource utilization and documentation affecting reimbursement.

    The case manager acts as a resource to staff and physicians in resource efficiencies and documentation that affects reimbursement. In this position, the case manager provides for a planned and systematic process for monitoring and evaluation of all patients, assessing the medical, financial, psychosocial, and physical needs in planning for discharge.

    Key Responsibilities:

    • Reviews clinical information daily on each patient to determine if continued stay is clinically appropriate and discusses the discharge plan with the physician and team.
    • Partners often throughout the shift with the Discharge Planning Assistant to direct the facilitation of transition/discharge plan to arrange post-acute facility, DME, HH, etc., in a timely manner, preventing avoidable days.
    • Attends daily HPIRounds to collaborate with members of the healthcare team in removing barriers to discharge and managing LOS.
    • Communicates current patient status, level of care, and LOS in huddles and HPIRounds.

    Collaboration and Communication:

    • Collaborates with other care team members and patient/family to create a safe and effective transition/discharge plan.
    • Responds timely to case management consults for patients.
    • Uses clear, concise, professional communication with coworkers, patients, and all customers internal and external.
    • Utilizes AIDET principles in interactions with patients and family members.

    Requirements:

    • At least two (2) years' experience as a nurse in an acute care hospital.
    • At least six (6) months' experience as a Case Manager in a general acute healthcare setting.
    • Critical thinking, service excellence, and good interpersonal communication skills.

    This employer is an equal opportunity employer and complies with federal employment laws.


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