[H.S. Diploma or Equivalent; Bachelor's Degree; Other; California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians; Certified Case Manager (CCM) - Commission for Case Manager Certification

Hours

Shift Start Time:

10 AM

Shift End Time:

6:30 PM

Additional Shift Information:

Weekend Requirements:

As Needed

On-Call Required:

No

Hourly Pay Range (Minimum - Midpoint - Maximum):

$31.495 - $40.639 - $49.783

The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.

What You Will Do
Ensures thorough patient assessment and planning for the appropriate level of care setting. Implements the plan of care and strategies to meet the anticipated clinical, quality and financial outcomes. Collaborates and communicates effectively with others in a manner that facilitates informed decisions regarding patient's level of care, discharge planning needs and continuum of care. Completes and regularly updates paperwork accurately and in a timely fashion.

Required Qualifications

• Background and educational experience that will establish credibility with physicians and non-physician health care practitioners involved in case management
• California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians -REQUIRED

Preferred Qualifications

• H.S. Diploma or Equivalent
• Other Continued college education
• Bachelor's Degree
• Certified Case Manager (CCM) - Commission for Case Manager Certification -PREFERRED

Essential Functions

• Communication
  Collaborates and communicates effectively with other members of the healthcare team in a manner that facilitates informed decisions regarding the patient's level of care, discharge planning needs and continuum of care.
  Identifies barriers to communication with the patient and family; obtains resources to assist in facilitating communication with patients and families.
  Communicates with physicians and the interdisciplinary team regarding the assessment criteria for levels of care in acute and sub-acute settings during the patient's stay.
  Gathers information daily from patient, family, medical records, social work, nursing, and interdisciplinary team.
  Utilizes opportunities for incidental teaching with staff/peers regarding acute and post-acute care criteria.
• Documentation
  Collaborates with MDs and interdisciplinary team to ensure documentation is thorough and in accordance with compliance.
  Proactively updates physicians and payor sources of status before severity of illness and intensity of services do not meet acute care criteria.
  Reviews are consistently done and documented in IDX per department standards.
  Provides admission, concurrent, and retro reviews to Medi-Cal, HMOs, and commercial payors indicating reason for hospitalization.
  Documents updates in plan of care in progress notes, IPER, and IPOC.
• Implements plan of care
  Prioritizes screenings and continued length of stay reviews to ensure of each patient in caseload meets the severity of illness/ intensity of services criteria.
  Identifies and ensures discharge arrangements through the collaborative efforts of the patient, family, MD, and interdisciplinary team.
  Participates in all unit rounds and unit patient care conferences.
  Makes proactive referrals to financial consultants/social workers to assist patient/family with financial resources.
  Issues specific referrals to community resources for post discharge continuum management.
  Implements plan that utilizes strategies to manage length of stay and resource utilization within case managed patients populations.
  Assists the department in identifying causes of delays in service, increased length of stay, or other areas of misutilization.
  Follows policies and procedures and department protocols and guidelines.
  Identifies patient/family needs related to education and discharge plan needs to assist them in making informed choices about their continuing care needs.
  Identifies patients' learning needs, including barriers/readiness and revises plan accordingly.

Knowledge, Skills, and Abilities

• Maintains strict confidentiality, knowledge of medical terminology, treatment plans, healthcare delivery systems, severity of illness and intensity of treatment criteria.

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class