Local Contract Nurse RN - Case Management - $58 per hour
Company: Talent Healthcare Staffing Inc
Location: Oakland
Posted on: October 31, 2024
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Job Description:
Talent Healthcare Staffing Inc is seeking a local contract nurse
RN Case Management for a local contract nursing job in Oakland,
California.Job Description & Requirements
This position coordinates the utilization management, resource
management, discharge planning, post-acute care referrals and care
facilitation. This position oversees the management of acute
patient populations across the care continuum with a focus to
provide coordinated and integrated care to prevent unnecessary
admissions or readmissions. Provides discharge planning
coordination and Intervention for the high risk patient presenting
to the Emergency Department. This position strives to promote
patient wellness, improved care outcomes, efficient utilization of
health services and minimized denials of payment among a patient
population with complex health needs.
Primary Responsibilities/Accountabilities:
Patient Initial and Concurrent Screening.
--- Reviews initial physician admission care plan. Gathers
additional medical, psychosocial and financial information from the
patient/family interview, medical record assessment, physicians and
other health care providers. Determines moderate or high-risk level
for readmission. Conducts a screening for ancillary supportive
services.
--- Functionally supervises and actively leads the health care team
in developing comprehensive, cost-effective care coordination plans
that meet the clinical needs of our patients. Performs cost benefit
analysis of care options.
--- Formulates a transition plan after reviewing
available/appropriate care options and obtaining input from the
patient/family and physician, health care team, payers and
community based support services.
--- Identifies and refers quality and risk management concerns to
appropriate level for corrective action plans and trending.
--- Directs and oversees the Assistants to interview patient/family
and determine preferences for post -acute care services.
Utilization Management.
--- Completes initial Inter Qual review screening upon admission
for all patients placed in a hospital bed and documents, either
inpatient or Observation (OBS) status.
--- Performs Inter Qual continued stay and discharge planning
reviews.
--- Reviews medical record daily to ensure patient continues to
meet level of care (LOC) requirements and that chart documentation
supports LOC determination and assignment
--- Works with Physician Advisor and Attending Physicians to obtain
necessary documentation to support current LOC, alters LOC as
needed and expedites discharge planning for patients who no longer
require hospital services
--- Monitors Length of Stay (LOS) and outliers requiring additional
resources and/or focus and reports to management.
--- Collaborates with financial counselor for delivery of inpatient
stay denials.
--- Assures delivery of Medicare Important Message within 48 hours
of discharge and no less than 4 hours of actual discharge
--- Actively participates in patient rounds following the standard
work as developed and collaborates with interdisciplinary team to
assure timely discharge.
--- Maintains an average Utilization Review (UR) accuracy rate at
or above the goal.
--- Utilizes Inter Qual criteria for potential/actual admissions to
determine appropriateness of the admission, appropriateness of the
setting and appropriateness of the level of care.
--- Follows policies and procedures for Physician Advisor
referrals.
--- Facilitates and expedites the discharge of patients from the
Emergency Department (ED) to alternate care settings.
--- Consistently documents in the Electronic Health Record (EHR)
and other electronic software.
--- Maintains current knowledge of medical facility and Joint
Commission discharge requirements.
--- Initiates timely communication with ED/admitting physician when
medical necessity deficiencies are identified for level of care
ordered.
--- Identify avoidable admissions and escalate as appropriate.
Care Coordination/ Care Transitions.
--- Performs initial screening on all hospitalized patients upon
admission to identify case management needs.
--- Performs, documents and communicates assessment findings to
health care team.
--- Screens 30-day readmissions; reviews previous hospital record
confers with interdisciplinary team on discharge plan
--- Proactively identifies barriers to discharge and works with
multi-disciplinary team to expedite care, monitor length of stay
(LOS) and facilitate discharge
.--- Addresses complex clinical and social situations efficiently
in order to avoid unnecessary delays in discharge.
--- completion of treatment plan and transition plan
Certifications:
Preferred:
Talent Healthcare Staffing Inc Job ID #23048358. Posted job title:
Registered Nurse - Case ManagerAbout Talent Healthcare Staffing
IncTALENT Healthcare Staffing Services (THSS), a distinguished
spin-off from TALENTSoftware Services with a rich 35-year legacy in
the staffing industry.
Founded by Dave Iacarella, a Service-Disabled Vietnam-Era Veteran,
THSS isdedicated to meeting the evolving needs of healthcare
clients in nursing, allied, andclinical staffing.Our vision is
rooted in unparalleled human capital solutions for Health
Systems,Hospitals, and Long-Term Care (LTC) facilities.At THSS, our
commitment goes beyond placement. We ensure meticulousonboarding
and prioritize the quality and productivity of our resources,
reflecting ourdedication to long-term partnerships and client
success.
As a veteran-led organization, THSS embodies service, integrity,
and excellence inhealthcare staffing. We believe in aligning talent
with healthcare needs, positioningTHSS as your trusted partner in
the dynamic landscape of healthcare staffing.
Visit us at https://talenthealthcarestaffing.com/ to learn more and
get started today.
Keywords: Talent Healthcare Staffing Inc, Newark , Local Contract Nurse RN - Case Management - $58 per hour, Executive , Oakland, California
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