Cynet Health Avalon, CA , Los Angeles County, CA
Posted 2 days ago
Job Title: Clinical Case Manager Job Specialty: Hospital Case Manager Job Duration: 36 weeks Shift: 9-5, Monday to Friday Guaranteed Hours: 40 hours per week Experience: Minimum 5 years of experience in clinical nursing. 1-2 years in case management or a related field preferred. License: Current licensure to practice in the state of California Certifications: Basic Life Support (BLS) required, Advanced Cardiovascular Life Support (ACLS) preferred Must-Have:
Ability to multitask
Proficiency in using computers and various software systems including Microsoft Office, Athena, EMR, and Point Click Care
Ability to work effectively in a fast-paced environment
Knowledge of community resources and support services
Bilingual in Spanish preferred Job Description:
Plan, organize, and coordinate swing bed admissions and review emergency department admissions and discharges.
Provide administrative and clerical services and contribute to process improvement.
Coordinate with the referral specialist to manage, obtain, and share medical records.
Work under the general supervision of the Director of Nursing.
Perform financial assessments to determine patients' source of payment for in-patient stays and ensure timely payment for hospital services.
Provide information in response to queries from doctors' offices, families, and outside facilities.
Manage case management, social services, utilization review, and discharge planning on a daily basis, including weekends as scheduled.
Identify and coordinate swing admissions, verifying that admission requirements are met before transfer.
Review emergency department admissions and discharges, contacting patients to arrange follow-up visits or coordinate transfers as necessary.
Develop and maintain relationships with specialty offices to facilitate transfers or collaboration in care.
Participate and collaborate with the interdisciplinary team and attend Utilization Review meetings.
Review patient charts for counseling requests and assess the need for intervention or appropriate community resources.
Be available at least two Saturdays a month, depending on admissions.
Educate patients and families about the disease process and treatment.
Connect, inform, and advise all ancillary departments of any changes to the patient care plan.
Cynet Health