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Twin Cities Community Hospital
Templeton, CA | Full Time
$70k-84k (estimate)
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Focus Staff Services
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Registered Nurse Case Manager Full Time Days
$70k-84k (estimate)
Full Time 2 Months Ago
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Twin Cities Community Hospital is Hiring a Registered Nurse Case Manager Full Time Days Near Templeton, CA

Twin Cities Community Hospital is located within the Central Coast Wine Country and in the beautiful community of Templeton, California. The hospital is a 122-bed acute care hospital which includes a diagnostic center and birth center. We are proud of our facilities, our technology and, most of all, proud of the expertise in delivering high-quality, efficient care. Excellent career opportunities exist for nursing and other healthcare professionals to make a difference in the quality of people’s lives and in the community. Motivation and job satisfaction are high due to a team oriented atmosphere where both new and experienced employees are encouraged to share their own ideas.

We offer competitive salaries and benefits including a matching 401(k), several health & dental plans to choose from, generous tuition assistance plans, and relocation assistance for select positions.

Position Summary:

POSITION SUMMARY:

The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right to self-determination. The individual in this position has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to promote timely throughput, safe discharge and prevent avoidable readmissions. This position integrates national standards for case management scope of services including:

  • Utilization Management supporting medical necessity and denial prevention
  • Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction
  • Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care
  • Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy
  • Education provided to physicians, patients, families and caregivers

The individual’s responsibilities include the following activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c) transition planning assessment and reassessment, d) implementation or oversight of implementation of the transition plan, e) leading and facilitating multi-disciplinary patient care conferences, f) managing concurrent disputes, g) making appropriate referrals to other departments, h ) identifying and referring complex patients to Social Work Services, i) communicating with patients and families about the plan of care, j) collaborating with physicians, office staff and ancillary departments, k) leading and facilitating Complex Case Review, l) assuring patient education is completed to support post-acute needs , m) timely complete and concise documentation in Case Management system, n ) maintenance of accurate patient demographic and insurance information, o) identification and documentation of potentially avoidable days, p) identification and reporting over and underutilization, q) and other duties as assigned.

Qualifications

EDUCATION / TRAINING / EXPERIENCE:

Minimum:

Graduate of a nursing program with at least 5 years experience in an acute care setting. Experience in utilization review, discharge planning and/or home health preferred. Recent experience in acute care hospital case management preferred.

Required qualifications include an active Registered Nurse license with at least two years acute hospital patient care experience. BSN preferred. Accredited Case Manager (ACM) preferred. Acute hospital case management experience preferred. Required skills include demonstrated organizational skills, excellent verbal and written communication skills, ability to lead and coordinate activities of a diverse group of people in a fast paced environment, critical thinking and problem solving skills and computer literacy.

LICENSES / CERTIFICATIONS:

Current California RN Licensure

Pay range: $44.09 Minimum - $72.96 Maximum an hour

Individual wages are determined based upon a number of factors including, but not limited to, an individual’s qualifications and experience.

Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

Job Summary

JOB TYPE

Full Time

SALARY

$70k-84k (estimate)

POST DATE

01/26/2023

EXPIRATION DATE

10/15/2023

WEBSITE

twincitieshospital.com

HEADQUARTERS

Templeton, CA

SIZE

<25

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The following is the career advancement route for Registered Nurse Case Manager Full Time Days positions, which can be used as a reference in future career path planning. As a Registered Nurse Case Manager Full Time Days, 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 Registered Nurse Case Manager Full Time Days. You can explore the career advancement for a Registered Nurse Case Manager Full Time Days below and select your interested title to get hiring information.