522 RN Care Manager Jobs in Los Angeles, CA
Martin Luther King, Jr. Community Hospital is Hiring a RN Care Manager Near Los Angeles, CA
MLK Community Health is an employer of choice for healthcare professionals in Los Angeles. Our commitment to the community, and to our employees, make us a great place to work.
We’re seeking an experienced Care/Case Manager for a per diem role during the day on weekends. Join us!
Qualifications/Requirements:
- Associates degree in Nursing required
- BSN preferred
- Prior case management experience
- Case Management certification highly desirable
- Minimum of one (1) to three (3) years of hospital inpatient case management experience required.
- Ability to navigate and connect successfully with outside provider networks (Health Plans, IPA’s, and FQHC’s).
- Current CA RN license
- Bilingual Spanish language skills preferred
- Current BLS
About this opportunity:
Case Managers at MLKCH provide key support to the physicians and interdisciplinary teams in facilitating patient care, working to enhance the quality of clinical outcomes and patient satisfaction while managing cost-of-care and working closely with payors. This role integrates and coordinates the functions of utilization management, care progression and care transition. It’s a wonderful opportunity to support our patient population and community.
- Facilitation of precertification and payor authorization processes
- Facilitation of the collaborative management of patient care across the continuum ensuring timely and efficient care delivery and reimbursement
- Application of process improvement methodologies in evaluating outcomes of care
- Coordinating communication with physicians
- Includes admission, continued, extended and discharge reviews in all reimbursement categories to determine medical necessity, assure high quality of care and efficient utilization of resources
- Includes patient assessment, discharge planning, implementation of progression care activities, interacts with family, providers and patient to ensure clarity of communication related to clinical status
- Demonstrates an understanding of the patient’s clinical condition, social, and financial resources to determine the most appropriate care setting, practice standards for evaluation, treatment delivery options (Home, SAR, SNF, LTACH, Acute Rehabilitation, Assisted Living, Board/Care, Recuperative Care, Shelter), and resources required to support safe transition of care.
- Develops and evaluates case management plans and protocols in collaboration with the interdisciplinary team.
- Evaluates actions taken to assure cost-effective care including physician length of stay, diagnostic related groups cost reporting, morbidity and mortality reports and monitoring of readmissions.
- Utilizes advanced conflict resolution skills as necessary to ensure timely resolution of issues.
Job Type: Full-time
Pay: $50.24 - $72.84 per hour
Schedule:
- Day shift
- Weekends as needed
Education:
- Bachelor's (Preferred)
Experience:
- Hospital inpatient case management: 1 year (Preferred)
License/Certification:
- California RN License (Preferred)
Work Location: In person
Job Summary
Full Time
Ancillary Healthcare
$96k-115k (estimate)
02/26/2024
09/05/2024
mlkch.org
LOS ANGELES, CA
<25
2015
<$5M
Ancillary Healthcare
Related Companies
About Martin Luther King, Jr. Community Hospital
Martin Luther King, Jr. Community Hospital (MLKCH) is a private, nonprofit, safety-net hospital serving 1.3 million residents in South Los Angeles. Our new hospital opened in 2015 through a unique public/private partnership with the County of Los Angeles, the University of California, and other healthcare providers. The Board of Directors of Martin Luther King, Jr. Los Angeles Healthcare Corporation (MLK-LA), which governs and operates the hospital, is committed to establishing an innovative model focused on patient-centered, coordinated care delivery, both inside and beyond the hospital wall...s. Martin Luther King, Jr. Community Hospital is licensed and accredited for 131 beds and provides general acute care. In addition to our Hope Emergency Center, which saw more than 90,000 patients in 2017, it features: - General medical-surgical services - A critical care unit - Labor and delivery services - In-house radiology - Pharmacy - Laboratory - Other ancillary services The hospital offers a level of service that ensures a high-quality, high-tech, and high-touch healthcare experience for patients and their familiesregardless of insurance status or ability to pay. At our hospital, care is organized through a state-of-the-art, safe and secure electronic health record (EHR) for each patient, and a care manager supporting the patient from admission through discharge. The care manager coordinates post-discharge care, partnering with other healthcare providers in the community to supplement the hospital-based services and provide a safe continuum of care.
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The job skills required for RN Care Manager include Case Management, Patient Care, Collaboration, Discharge Planning, etc. Having related job skills and expertise will give you an advantage when applying to be a RN Care Manager. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by RN Care Manager. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for RN Care Manager positions, which can be used as a reference in future career path planning. As a RN Care Manager, it can be promoted into senior positions as a Case Management Director that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary RN Care Manager. You can explore the career advancement for a RN Care Manager below and select your interested title to get hiring information.
If you are interested in becoming a RN Care Manager, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a RN Care Manager for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
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Step 3: View the best colleges and universities for RN Care Manager.
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