Outpatient Case Manager (Renal Team), Rn/Lvn (Sign On Bonuses Available!)

Lakeside Medical Northridge , CA 91324

Posted 2 weeks ago

As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

The Outpatient Case Manager is responsible for the assessment, treatment planning, intervention, monitoring, evaluation and documentation on identified High Risk members. The Outpatient Case Manager will assess and develop a care plan in collaboration with the admitting, attending and consulting physician, the member and other health care practitioners. The goal of the Outpatient Care Manager is to effectively manage members on an outpatient basis to assure the appropriate level-of-care is provided, to prevent in patient admission and re-admissions, and ensure that the members' medical, environmental, and psychosocial needs are met over the continuum of care.

  • Keeps member/family members or other customers informed and requests if necessary, further assistance when needed.

  • Demonstrates the ability to follow through with requests, sharing of critical information, and getting back to individuals in a timely manner.

  • Functions as liaison between administration, members, physicians and other healthcare providers.

  • Interacts professionally with member/family/physicians and involves member/family/physicians in formation of the plan of care.

  • Performs a Clinical Assessment/Questionnaire of the member and determines an acuity score for necessary scheduled follow-up.

  • Develops an outcome-based plan of care, based on the member's input and assessed member needs. Implements and evaluates the plan of care as often as needed as evidenced by documentation in the member's case file.

  • Documents member assessment and reassessment, member care plans, and other pertinent information completed in the member's medical record in accordance with the FOCUS Charting methodology, nursing standards, and company policies and procedures.

  • Initiates community visits (hospital, home visits) as needed to assess patient progress and meet with appropriate members of the patient care team.

  • Identifies planned and unplanned transitions of care from Requests for Services or daily inpatient and SNF census.

  • Educates the member/caregiver on the transition process and how to reduce unplanned transitions of care.

  • Manages transition of care from the sending to receiving settings ensuring that the Plan of Care moves with the member and updates/modifies the care plan as the member's health care status changes.

  • Communicates appropriately and clearly with physicians, in patient case managers and Prior-Authorization nurses

  • Identifies and addresses psychosocial needs of the members and family and facilitates consultations with Social Worker, as necessary.

  • Identifies and addresses pharmacological needs of the members and facilitates consultations with the pharmacy department, as necessary.

  • Identifies community resources to address needs not covered by the member's benefit plan, and coordinates member benefits as needed, with the health plan.

  • Participates in the efficient, effective and responsible use of resources such as medical supplies and equipment.

  • Responsible for the coordination and facilitation of member and family conferences as determined by assessment of member's needs.

  • Identifies the appropriate members to participate in the interdisciplinary case round process. Prepares the necessary summary information to present to the team.

  • Responsible for the coordination of clinic appointments, medication reconciliation, PCP and SPC visits.

  • Ability to collaborate and communicate with all members of the healthcare team (concurrent review, pre-authorization, PCP/SPC, Social Services, Pharmacy) to coordinate the continuum of care of developing plans for management of each case.

  • Responsible for the identifying members that are appropriate for hospice conversion or Palliative care.

  • Meet with members/caregiver face to face in different locations (clinic, home, hospital, and community) in order to build a rapport with member so that the case manager can better support member/caregiver with care coordination and the plan of care.

  • Other duties as assigned.

Sign-On Bonuses, LVN: $2500 and RN: $5,000

  • All bonuses paid out by company policy

We offer a full benefits package which includes employer paid medical, pharmacy and dental benefits. We offer a generous PTO package, 401k Retirement Savings, Life Insurance, Flexible Spending Account (FSA), Tuition Reimbursement & Licensed Renewal Fees for our clinical staff

Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Stroke Program Mgr RN

Dignity Health

Posted 1 week ago

VIEW JOBS 9/13/2019 12:00:00 AM 2019-12-12T00:00 Overview Founded in 1955, Dignity Health – Northridge Hospital Medical Center is a 394-bed, acute care, nonprofit community hospital located in Northridge, California. The hospital offers a full complement of award winning services, including the Leavey Cancer Center, a cardiovascular center, stroke center, the Center for Assault Treatment Services, a pediatric medical center, and the only pediatric trauma center in the San Fernando Valley. As a leading provider of compassionate, high-quality and affordable patient-centered care, we share a rich legacy with Dignity Health, one of the nation's five largest health care systems. We are part of a 21-state network of nearly 9,000 physicians, 62,000 employees and more than 400 care centers. Visit dignityhealth.org/northridgehospital for more information. Responsibilities Program Manager Dignity Health - Northridge Hospital Medical Center The Program Manager * Develops implements and evaluates patients under the Neuroscience program and offer clinical services to patents appropriately: This will be done in collaboration with the Medical Director, Attending Physicians, Specialists, Pharmacist, Nursing, Nutritional Services, Physical Therapy, Case Management, Chronic Disease Transitional Care team members, Intensivists, Neurologists, Neurosurgeons, Neuro interventionists and ancillary healthcare staff. * Performs patient/family assessment by reviewing the patient's medical history and performing physical, psychosocial, and readmission risk assessments, within the scope of practice. * Assist with developing a plan of care consistent with patient/family needs and wishes. * Assesses patient's needs for pain, symptom, psychosocial, and spiritual management and makes recommendations and referrals as appropriate. * Attends unit rounds regularly and provides support to clinical and non-clinical staff as deemed appropriate for patient care. * Participates in after hour's phone consultative and emergent response on a rotational basis in accordance with the needs of the neuroscience service. * Establishes the relationship and assumes responsibility at the time of patient admission for: individualized care planning, discharge preparation and planning throughout the hospital stay and up to 30 days post discharge. * Conducts discharge phone calls within 24- 48 hours of discharge and continues patient follow up by phone calls &/or home visitation throughout 90 days post discharge. * Provides patient/family education throughout the continuum of the care plan. Ensures that post discharge care coordination is appropriately handled at all times. * Writes, reviews and implements physician orders for laboratory testing, examination, diagnosis, and treatment within scope of practice. * Provides prescriptions and performs procedures and patient family education within the scope of expertise and protocols. * Provides patient/family education in preparation for discharge planning. Validates knowledge and understanding of medications and red flags of illness prior to discharge and post discharge. * Identifies patient/family psychosocial needs (i.e. cultural, spiritual) and addresses or makes referrals as applicable. * Works collaboratively with the Medical Director for planning the overall care for the neuroscience patient, provides support as needed. * Act as a liaison between physicians, nursing ancillary staff and patients and their families. * Serves as a clinical resource and provides consultation to healthcare staff regarding neuroscience patients. * Collaborates with physicians, nurse educators, pharmacists, spiritual care providers and others to implement formal and informal community education regarding care of the chronic disease patient. * Assists in the development and implementation of clinical practice guidelines and standards. * Ensures that the Neuroscience Program complies with all hospital policies and delivers high-quality care to patients. * Consults with the Medical Director, hospital staff, and primary care physicians. * Assists patient/family to schedule follow-up visits with their physician and/or specialists. Schedules patients for clinic visits as necessary. Conducts additional home visits or phone calls as needed. * Actively facilitates support groups for patients/families related to chronic disease (i.e., challenge of change, dealing with losses, dealing with chronic illness as caregiver, etc.). * Actively participates in educational in services and skills fair competency validation and development, as needed. * Records statistics and conducts research as deemed necessary by institution. * Develops necessary reports, logs, and documentation. * Assists various members of the hospital administration with program development, ensuring that quality improvement and utilization review activities are incorporated into the Chronic Disease Program. * Serves as a member of committees as requested. * Ensures that policies and procedures relative to Dignity Health Northridge Hospital are consistent with regulatory and fiscal requirements mandated by the external governing boards (State/Federal licensing and requirements, The Joint Commission, Hospice Care standards, Medicare Conditions of Participation, regulatory bodies that oversee neuroscience program and other reimbursement requirements for both the in-patients and the outpatient care setting). * Ensures that the program of Neuroscience program is consistent with the Mission and Philosophy of Dignity Health, Northridge Hospital Medical Center. * Complies with all Medical Staff documentation and validation requirements as specified by Dignity Health Northridge Hospital rules and regulations. * Succinct, complete and up to date record keeping of all patient information to ensure compliance all times. Including but not limited to proper documentation of in electronic health record at all times. * Active involvement in monthly and other required Neuroscience meetings. * Performs other related duties as assigned or requested. RN, Registered Nurse, Neuro, Neuroscience, Stroke, Program Manager, 3 years exp, CA License #rnprogrammgr ~LI-DH~ Qualifications Requirements: * EDUCATION, EXPERIENCE, TRAINING (include Licenses and Professional Affiliations): * Education: Must be a graduate of an accredited RN School of Nursing. * Experience: Minimum three years of Neuroscience experience required. * Specialized Training: Advanced Certification in Neuroscience. Required certification within a 12 month period of employment. * Licensure: Current CA RN license; ; AHA BLS and ACLS certification required. * Software: Knowledge of Microsoft Office, Outlook, and Internet. Dignity Health Northridge CA

Outpatient Case Manager (Renal Team), Rn/Lvn (Sign On Bonuses Available!)

Lakeside Medical