RN Case Manager, Discharge Planner - SRMC (Per Diem - Days)
Location: Sacramento California
Description: Sutter Health is currently interviewing RN Case Manager, Discharge Planner - SRMC (Per Diem - Days) right now, this vacancy will be placed in California. For complete informations about this vacancy opportunity kindly read the description below. POSITION SUMMARY
:
The
Case Manager
assists the organization by assuring that the right care is provided at the right place, at the right time. To accomplish these goals, the Case Manager: uses established criteria to evaluate the appropriateness of admission, level of care, and readiness for discharge; assures the timely movement of patients throughout the continuum of care by conducting concurrent reviews and resolving delays as necessary; assesses patients' post-discharge needs and develops and implements the plan; reviews physician documentation for accuracy and thoroughness and seeks clarification as necessary to improve clinical documentation; provides third-party payers with clinical information to assure reimbursement; and coordinates care with the treatment team , family and others as necessary. This position will be cross trained to the Sutter Care Coordination Program/Office Based Case Manager role and will be able to provide coverage in the physician office including Telemanagement for the AIM program.
Qualifications
MINIMUM POSITION REQUIREMENTS:
Education:
- Current California RN Licensure. BSN strongly preferred
- Most successfully complete Sutter Health Sacramento Sierra Region's case management orientation program and DRG Assurance Training within ninety days from date of hire.
- National certification in Case Management (ACM, CCM) preferred.
- Supervisory training helpful.
- Must successfully complete Sutter Care Coordination case management orientation program within 90 days from date of hire.
- Experience with in-home and telephone patient case management, knowledge of health-related information, education, resource and referral services
- Four years' previous acute care experience is required.
- Previous case management experience is preferred.
- Broad acute clinical background (experience in more than one population
level of care) strongly preferred.
- Experience using InterQual is strongly preferred.
- Ability to use clinical knowledge to identify potential quality of care issues, delays in service, and post-acute care needs required.
- Basic knowledge of governmental (Medicare, Medi-Cal, etc.) healthcare reimbursement systems is required.
- Advanced knowledge of healthcare reimbursement systems: HMO, PPO, capitated agreements, PPS, etc., is preferred.
- Basic knowledge of post-acute healthcare resources such as types: SNF, Home Health, Hospice, etc., and their admission criteria, etc., is required.
- Intermediate level computer skills are required.
- General typing skills (35 WPM) required.
- General knowledge of coding and DRG assignment process is preferred.
- Must be able to effectively communicate with, and promote cooperation between, multiple people including: patients and their families; physicians, nurses, social workers, etc.
- Able to orchestrate successful, complex discharge plans.
- Must be able to develop an organized work plan in a high-volume environment with rapidly changing priorities.
- Leadership skills to delegate, functionally supervise, provide direction/guidance to staff and hold others accountable are required.
- Must have the abilities to work independently with a minimum of direction, anticipate and organize workflow, prioritize and follow through on responsibilities.
- Must have strong clinical assessment and critical thinking skills necessary to provide utilization review/discharge planning services appropriate to patients with complex medical, emotional and social needs.
:
California-Greater Sacramento Area-Davis
Other Locations
:
California-Greater Sacramento Area-Sacramento, California-Greater Sacramento Area-Davis
Organization
:
Sutter Health Sacramento Sierra Region
Employee Status
:
Regular
Accepted Applications
:
All Candidate Applications Accepted
Employee Referral Bonus
:
No
Benefits
:
No
Position Status
:
Non-Exempt
Union
:
No
Job Shift
:
Day
Days of the Week Scheduled
:
Varied Days
Schedule
:
Per Diem
Hours Per 2wk Pay Period
:
Per Diem
- .
If you were eligible to this vacancy, please email us your resume, with salary requirements and a resume to Sutter Health.
If you interested on this vacancy just click on the Apply button, you will be redirected to the official website
This vacancy starts available on: Thu, 19 Jul 2012 18:57:36 GMT
Apply RN Case Manager, Discharge Planner - SRMC (Per Diem - Days) Here