RN Case Manager - Clinical Resource Management (Per Diem - Day Shift) - Sutter Health - Berkeley, CA

RN Case Manager - Clinical Resource Management (Per Diem - Day Shift) - Sutter Health - Berkeley, CA -

The RN Case Manager is answerable for Care Coordination, Care Transitions, Discharge Planning and Utilization Management all through the acute care affected person expertise. The RN Case Manager works in collaboration with the Doctor, Medical Social Employee and bedside RN to guarantee the well timed motion of sufferers to the suitable degree of care to stop pointless admissions or readmissions. Oversees the management of acute affected person populations throughout the care continuum with the first focus to offer coordinated, well timed and built-in care. The RN Case Manager studies to both the Supervisor or Manager or Director of Care Coordination in every facility. The RN Case Manager has frequent contact with sufferers, households, physicians, the interdisciplinary workforce, nursing management, high quality, ancillary providers, third get together payers and assessment businesses, claims and finance departments, Medical Administrators, and contracted suppliers and group assets.

Schooling/Certification/Licensure

HS Diploma

Associates

Bachelors

Masters

Different

Cert/Reg/Licensure

Required

BS in considered one of following: Nursing or Health associated subject

RN licensure

Desired

MS in Nursing, Case management, or associated subject

Nationwide Certification in Case Management (ACM, ANA RN-BC Case Management)

or Equal Ed/Exp

Expertise

Minimal of three (three) years in acute medical/surgical/ED/ or important care nursing space required. Masters of Nursing in Case Management in lieu of three (three) years in acute medical/surgical/ED/ or important care nursing space could also be thought-about for employment at administrators discretion.

Earlier Case Management expertise most popular.

Expertise using digital InteQrual or different standardized standards strongly most popular.

Expertise with medical evaluation for affected person with complicated medical, emotional and social wants.

Expertise utilizing an digital medical document system

Expertise and information with MIDAS most popular

Information

Wonderful interpersonal communication and negotiation expertise.

A broad information base of well being care supply and case management inside a managed care surroundings.

Complete information of Utilization Evaluate, ranges of care, and remark standing.

Some consciousness of healthcare reimbursement methods: HMO, PPO, PPS,CMS most popular.

Publish-acute ranges of care resembling House Health, Hospice, AIM, and Palliative Care. SNF, LTAC, B&C, Sub-acute, Acute rehab.

Basic Information of coding and DRG task course of most popular.

Expertise

Should have the ability to successfully talk with, and promote cooperation and collaboration between people together with sufferers/households/caretakers, physicians, nurses and different ancillary companions.

Capability to work independently and train sound judgment in interactions with physicians, payers, and sufferers and their households.

Demonstrates dedication to service excellence in all affected person, household and worker interactions and in performing all job obligations.

Features in a fashion to advertise high quality affected person care and guarantee a constructive affected person expertise.

Wonderful verbal and written communication expertise.

Should have wonderful time management expertise to develop organized work processes in a excessive-quantity setting with quickly altering priorities.

Intermediate pc expertise.

Means to advertise teamwork and to successfully perform in groups.

Capability to work together successfully with key inner and exterior constituents utilizing collaboration, and customer support expertise that promote excellence within the affected person expertise.

Particular Necessities

Adheres to Sutter Health insurance policies and procedures and helps Sutter Health philosophies and initiatives.

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