1 Desert Oasis Healthcare Job
Desert Oasis Healthcare is Hiring a RN, Case Manager (Part Time) Near Palm Springs, CA
- Performs the initial inpatient admission medical necessity reviews as well as all ongoing concurrent utilization and quality screening reviews for all, in network, hospitalized patients using industry recognized criteria and guidelines.
- Communicates frequently with the Hospitalist(s) and Specialty provider(s) in order to facilitate timely consultations, solidify the plan of care, clarify the current level of care, and/or problem-solve any potential obstacle to a safe discharge.
- Monitors all physician ordered clinical activities, and when appropriate, makes recommendation for alternative or lower levels of care.
- Anticipates delays in physician decision making which, without immediate intervention, might result in delay(s) of care as well as unnecessarily prolonging a hospitalization.
- When avoidable delays are identified, initiates immediate corrective action(s) including, but not limited to, direct communication with Hospitalist and/or Specialty Provider(s) in an effort to facilitate care.
- Seeks immediate intervention by the Medical Director when unable to impact physician decision-making regarding potential delays in service.
- Gives daily clinical update(s) to team members regarding utilizations including, verbalizing the anticipated next step(s) the Hospitalist(s) or Specialty Provider(s) are likely to pursue as well as what potential obstacle.
- Identifies aberrant days resulting from hospital process issues, acquires documentation to support the aberrancy, and reports findings to department Director (or Designee) to ensure DOHC does not incur financial liability for such avoidable delays.
- Accomplishes discharge screening on all admissions, anticipates discharge planning needs, and ensures timely and safe discharges and/or SNF transfers for medically stable patients. When applicable, ensures that all applicable DME and Home Health needs are met.
- Ensures that the Case Management and/or Referral Department receives sufficient supporting documentation so that all requests for post-hospital specialty care can be processed timely, completely and without delay.
- Makes recommendations to the Hospitalist(s) and Specialty Provider(s) regarding discharge planning and dispositions.
- Updates the Daily Hospital Log and reports significant changes in patient’s condition or status, as they occur, to the appropriate department via e-mail including but not limited to: discharge and/or transfer dates, appropriate Case Type, level of care, mode of admission, major procedures performed, consultants utilized, anticipated or actual dispositions, etc.
- Initiates and issues timely denial notifications to the patient or their power of attorney or next of kin, in accordance with both State and Federal regulatory guidelines.
- Identifies and submits to the Quality Improvement Committee any potential or actual quality issues for their review as well as utilization issues; e.g., over/under utilization, delay of service issues, etc.
- Performs other duties as assigned.
- Current California RN license.
- Preferably 2 years recent acute hospital experience, including experience with telemetry as well as a broad knowledge of the various nursing disciplines. Prior experience in chart review and analysis required.
- Must possess an extensive understanding of varied diagnostic and invasive procedures and the ability to anticipate care plan changes based on their findings.
- An awareness of Level of Care, Intensity of Service and Severity of Illness criteria, Discharge screens, Skilled Nursing criteria (for SNF) and Home Health criteria.
- Ability to communicate professionally and interface assertively with Physicians.
- Must be detail oriented and able to continually re-prioritize multiple tasks.
- BLS required within 60 days of hire for all RN Case Managers with direct patient care. BLS is NOT a requirement for RN Case Managers on Hospital Teams.
- Current California drivers license and proof of insurance.
Job Summary
Part Time
Ambulatory Healthcare Services
$113k-146k (estimate)
11/21/2023
05/23/2024
mydohc.com
INDIO, CA
200 - 500
1981
RANDY VAUGHN
$10M - $50M
Ambulatory Healthcare Services
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About Desert Oasis Healthcare
Desert Oasis Healthcare is committed to the provision and facilitation of the highest quality medical care to the residents of the desert communities. We will strive to be an organization which provides excellence in every encounter. As a result, we will be recognized by: Our patients as their care givers of choice; Our employees as their employer of choice; Our provider and health plan partners as their health care network of choice. Desert Oasis Healthcare is a non-discriminate (Religious, Cultural, Sexual, Ethnic) Health Care Provider. In 1981, Desert Medical Group Inc. introduced to the Co ...
achella Valley a full service medical facility, providing the community with all their health care needs from newborn to senior care. Today, we are Desert Oasis Healthcare - a team of highly skilled primary care physicians and ancillary providers with services conveniently located throughout the desert communities. Our many locations include Palm Springs, Bermuda Dunes, Indio, Rancho Mirage and Yucca Valley. Desert Oasis Healthcare's services include access to 4 Immediate Care Centers - Indio, Palm Desert, Palm Springs and Yucca Valley. We also offer an award winning Outreach Services Department that is committed to educating individuals on how to apply the principles of preventative health care in their daily lives, resulting in improved health. Desert Oasis Healthcare accepts most HMO's, private insurance, Medicare and private pay patients. We are affiliated with every hospital in the Coachella Valley, which includes Eisenhower Memorial Hospital, Desert Regional Medical Center, John F. Kennedy Memorial Hospital and Hi-Desert Medical Center
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The job skills required for RN, Case Manager (Part Time) include Case Management, Discharge Planning, Decision Making, etc. Having related job skills and expertise will give you an advantage when applying to be a RN, Case Manager (Part Time). That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by RN, Case Manager (Part Time). Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for RN, Case Manager (Part Time) positions, which can be used as a reference in future career path planning. As a RN, Case Manager (Part Time), 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, Case Manager (Part Time). You can explore the career advancement for a RN, Case Manager (Part Time) below and select your interested title to get hiring information.
If you are interested in becoming a RN Case 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 Case Manager for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on RN Case Manager job description and responsibilities
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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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Before becoming an RN case manager, a nurse would be expected to earn some clinical experience.
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Graduate from an Accredited Nursing Program.
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Gain Experience Working as a Nurse.
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Step 3: View the best colleges and universities for RN Case Manager.
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