RN Case Manager

In this position you will :

Key activities : Establish priorities

Establish priorities

Consider evidenced-based protocols for new patients

Keep running problem sheet on the patient, so hand-offs are easy

Diagnostics to be reviewed or ordered

Interactions with sub-specialists

Consult requests

Post-acute options and confirmation of targeted transition

Accuracy and completeness of medical documentation

Start the discharge planning on admission to evaluate probable post-acute needs and target a transition date

Care Management :

Responsible for established Ministry and Regional metrics. Monitoring specific CM / SW outcomes. Participate in regional and system directives

Conducting a comprehensive assessment of the client’s health and psychosocial needs, including health literacy status and deficits, and develop a case management plan collaboratively with the client and family or caregiver

Planning with the client, family or caregiver, the primary care physician / provider, other health care providers, the payer, and the community, to maximize health care responses, quality, and cost effective outcomes

Facilitating communication and coordination between members of the health care team, involving the client in the decision-making process in order to minimize fragmentation in the services

Educating the client, the family or caregiver, and members of the health care delivery team about treatment options, community resources, insurance benefits, psychosocial concerns, case management, etc.

so that timely and informed decisions can be made

Empowering the client to problem-solve by exploring options of care, when available, and alternative plans, when necessary, to achieve desired outcomes

Encouraging the appropriate use of health care services and strive to improve quality of care and maintain cost effectiveness on a case-by-case basis

Assisting the client in the safe transitioning of care to the next most appropriate level

Striving to promote client self-advocacy and self-determination

Advocating for both the client and the payer to facilitate positive outcomes for the client, the health care team, and the payer.

However, if a conflict arises, the needs of the client must be the priority

Qualifications :

Required qualifications :

Bachelor's degree

California State Registered Nurse License

2 year’s acute hospital experience, including 1 year of supervisory experience

Strong knowledge base or experience in specialty area assigned

Special Skills / Desirable Qualifications :

Must be tactful and proficient at conflict resolution.

Must be able to work well independently and with a team

Judgment must include ability to make accurate, rapid and long-term decisions under pressure

Must be able to project a positive self-image. Must be self-motivated

Must have good oral and written communication skills

Strong leadership, supervision interpersonal and organizational skills

Excellent communication skills, both oral and written

Excellent customer services skills

Strong problem-solving skills and flexibility

Demonstrated ability to work independently and self-directed

Ability to plan, organize, prioritize, evaluate and document

Excellent presentation skills

Basic computer skills, Word, Excel, Access and PowerPoint

Knowledge regarding State and Federal regulations, HMO, PPO and Utilization processes

Knowledge of Discharge planning and Case Management

Knowledge of principles and practices of Utilization and Quality Management

Knowledge of CPT, IDC-9 Coding

Preferred qualifications :

Master's Degree in health care related field

About the ministry you will serve :

Providence Little Company of Mary Medical Center Torrance is a 436-bed non-profit hospital that has served the greater South Bay communities of Los Angeles since 1960.

We have a reputation for clinical excellence and sophisticated technology while providing care with a personal, healing touch.

In addition to the finest general medical, surgical and critical care services, we offer a number of specialty programs including Cardiovascular Services, Women’s and Children’s Health, Oncology, and Emergency Care.

We are proud to be named one of the Top 50 U.S. Hospitals for Heart Care by Thomson Reuters, the only community hospital in California to receive this honor.

We were one of five hospitals in the United States recognized by American Hospital Association-McKesson for leadership and innovation in quality improvement.

We received The Choice Award by AAHCP for Outstanding Customer Service Delivery, and were one of 24 hospitals and health systems in the nation to receive the Premier Award for Quality by the Premier healthcare alliance.

As a member of Providence Health & Services, a Catholic-sponsored healthcare ministry, we believe strongly in respecting the dignity of each person, and give special concern to the most vulnerable members of our community.

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.