CASE MANAGER- FT

Job DetailsJob Location: Hospital - Loma Linda, CA 92354Position Type: Full-Time/Part-TimeEducation Level: Not SpecifiedSalary Range: $48.00 - $52.92 HourlyTravel Percentage: Road WarriorJob Shift: DayJob Category: Health CareDo you want to work with amazing mentors and people who can help you build your knowledge and skillset? A company who takes pride in providing education and experiences that allow each team member to thrive in their role. A place that allows you room to grow with endless opportunities. Then Totally Kids Rehabilitation Hospital maybe the place for you!

Totally Kids Rehabilitation Hospital is dedicated to enriching the health and quality of life of children with medical and developmental needs and who benefit from habilitation and rehabilitation services and the supportive use of technology. We are committed to meeting their medical, physical, developmental, social, psychological and spiritual needs through a blend of tenderness and expertise.

Totally Kids Rehabilitation Hospital has a position available for a Case Manager/Case Finder.

 

Job Summary:

Case Manager/Case Finder utilizes clinical expertise, discretion, and independent judgment in assessing, providing, coordinating and monitoring healthcare services for all assigned patients. Ensures medical appropriateness criteria (medical necessity) met for level of care provided in the acute and subacute units and documented from admission through discharge including readmissions. Coordinates and participates in patient discharge teaching as appropriate.

The Case Manager/Case Finder acts as a liaison between the patient, family members, interdisciplinary team and community to assure that services provided meet the patients needs are initiated and met in accordance with their plan of care and treatment. Acts as a community liaison with hospital staff, insurance companies, other payors, physicians, and other providers to inform of services offered. Participates and communicates with billing department in obtaining authorization for admissions, services provided, and outpatient services. Coordinates and participates with Marketing on any vendor marketing activity representing Totally Kids Rehabilitation Hospital.

It is expected that the employee will demonstrate behavior consistent with the Core Values. The employee shall support the organization strategic plan, the goals and direction of the quality assurance performance improvement process, and activities.

Make a Difference. Join Our Great Team!


Competitive wages and benefits.
Night and weekend differentials.
$500 sign-on bonus.
Team-centered philosophy of care.


About Totally Kids Rehabilitation Hospital


Distinctive campus devoted 100% to children
National leader in providing rehabilitation and habilitation programs with a family-centered emphasis
Consistently awarded the Gold Seal of Approval by the Joint Commission
Trusted destination of choice for physicians and parents for more than 50 years.


 QualificationsREQUIREMENTS:


Current California Registered Nurse (RN) Licensure
Bachelors of Science degree in nursing or related field required. Masters degree in related field preferred
Current basic cardiac life support (BCLS) certification
Minimum of (2) years of acute or subacute nursing experience required. Clinical experience in nursing care of the medically complex and/or in pediatric care preferred
Certification in Case Management or ability to achieve certification in Case Management is preferred
Knowledge of case management theory/practice and with current psychosocial issues within the community and healthcare environment
Must possess good work ethics and a professional image at all times
Knowledge of CMS conditions of participation, CDPH state regulations, CCS, and TJC (hospital, nursing care center, and laboratory) accreditation requirements as applicable to job
Working knowledge of computer and software applications as applicable to job
Possess strong communication, interpersonal and collaboration skills
Works responsibly in a team environment as well as independently
Manages confidential information effectively and appropriately


KNOWLEDGE OF HEALTH CARE ENVIRONMENT:

Practice Knowledge


Demonstrates knowledge of current practice and the roles and functions of patient care team members as applicable to job
Ensures compliance with the state and federal regulatory agency standards, and policies of the organization
Adheres to professional association standards of practice as applicable to job


Patient Safety/Risk Management


Supports the development of an organization-wide patient safety program
Maintains and ensures patient confidentiality at all times.


Performance Improvement/Outcome Measurement


Knowledge of the organizations quality assurance performance improvement (QAPI) program


COMMUNICATION AND RELATIONSHIP MANAGEMENT:

Effective Communication


Demonstrates effective interpersonal communication skills
Provides communications that is clear and effective.
Uses positive verbal/nonverbal communications


Relationship Management


Builds collaborative relationships in the organization
Exhibits effective conflict resolution skills


PROFESSIONALISM:

Personally and Professionally Accountable


Holds self and others accountable for mutual professional expectations and outcomes
Adheres to the organizations professional attire (dress code) policy
Treats our customers with respect and courtesy. Keeping their information confidential.
Demonstrates a behavior which is always willing to assist
Complies with the organizations code of conduct and compliance standards
Maintains proper use of timekeeping system to record time


Career Planner


Maintains professional license and/or certification as applicable to job
Acts on feedback about personal strengths and weaknesses
Completes annual organization education requirements
Completes annual employee health requirements


Trustworthy


Prudent in showing care for staff organization
Consistently reliable, truthful and honest
Ability to hear and convey important and difficult information up and down the organization
Maintains a level of competency to provide reliable positive outcomes in areas of responsibility