Sign On Bonus Eligible Default Work Shift: Day (United States of America) Hours: 40 Salary range: $58.43 - $89.44 Schedule: Full Time Shift Hours: 8 Hour employee Department: Case Management Social Services Job Objective: Responsible to provide support and leadership over side of the Case Management department planning, organizing and directing the daily operations such as staffing, assignments, kronos, performance evaluations, and competencies. Works closely with the RN-Clinical Manager-Case Management and Social Worker Manager to ensure the daily operations of the department are met Job Description: Education: Required: Bachelor of Science in Nursing (BSN) or Master’s in Nursing Licensure/Certification: Required: California Registered Nurse (RN) License Experience: Required: Four (4) years of clinical RN experience in an acute care setting with one (1) year of experience in a case management Preferred: Previous managerial experience, Case Management Certification Reports To: Clinical Director Supervises: Clinical and non-clinical staff Ages of Patients: N/A Blood Borne Pathogens: Minimal/ No Potential Skills, Knowledge, Abilities: Current working knowledge of utilization management, case management, regulatory requirements and reimbursement, Demonstrates effective problem-solving behavior and conflict resolution skills, Demonstrates leadership ability and collaborative skills, Demonstrates self-motivated behavior in order to independently complete job responsibilities and individual assignments while supporting the needs of the entire work unit, Excellent interpersonal communication skills, Strong analytical, data management and PC skills, Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components, Understanding of services available across the continuum of care Essential Responsibilities 1. Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations. 2. Rounds with Case Managers and Case Manager Assistants to guide and advice on best practice of the Case Management of patients. 3. Participates in Interdisciplinary rounds to support the Case Management needs of patients. 4. Reviews Outlier patients and discusses with interdisciplinary team, medical necessity, active discharge plan, discharge barriers, avoidable delays capture for process improvement opportunities. Keep log of patients up to date for performance improvement opportunities and escalates as needed. 5. Rounds with Case Managers to review OBS patient over 18 hours for process improvement opportunities. Educates staff as to best practices. 6. Supports patient throughput activities in the movement of patient through the continuum of care. 7. Works closely with payers in addressing concurrent stays denials and support the PEER to PEER review process. 8. Provides Physician Education pertaining to CM best practices. 9. Provides Resident education on 2 midnight, CM processes and proper documentation to prevent clinical denials. 10. Provides oversight of clinical orientation of new Case Managers and Case Manager Assistant. 11. Provides clinical feedback to operations manager regarding Case Managers and Case Manager assistant performance. 12. Maintains department performance improvement program; promotes and supports department and hospital wide performance improvement efforts. 13. Ensures compliance with regulatory requirements and with policies and procedures. 14. Maintains knowledge of and compliance with laws, regulations (federal and state) as well as JC accreditation standards and contractual agreements pertaining to Case Management. 15. Demonstrates accountability for job responsibilities and actions taken by embracing the obligations stated in the job description by taking initiative and ownership of the job responsibility tasks. 16. Rounds on outlier or complex patients to ensure we are meeting their needs and or question/concerns are addressed. 17. Participates and supports the improvement in the following Case Management Department key performance indicators: Patient Satisfaction, Physician Satisfaction, Employee Satisfaction, Financial Performance on LOS and Denials. 18. Collaborates and coordinates with the Quality Improvement Department, Decision Support and Medical Staff Services in the completion of focused studies, as requested, for Case Management related performance issues. 19. Develops and implements corrective action plans proactively when process and other issues are identified. 20. Provides ongoing training and education to keep Case Management staff abreast of changes including updates on new regulations, specific expectations and outcome requirements. 21. Maintains the Case Management Department in a state of constant readiness in regards to TJC and State survey review: Completed baseline assessment, Develops action plans for areas with need for performance improvement. Monitors and measures quality and current state of action plan implementation 22. Develops a high performing team by providing training and mentorship of the latest regulation by CMS on: Medicare 2 midnight rule, Patient Choice, IMM Notices, Moon Notices, Discharge planning regulations, HINN notices 23. Ensures that staff consistently provides high quality patient care and/or other support services that are valued by patients, physicians and each other. 24. Models the organization’s values 25. Participates in hospital activities and committees as appropriate. 26. Evaluates departmental performance and effects changes as needed to improve services 27. Keeps administrative records and information of education activities, improvements and interventions to resolve educational deficiencies. 28. Demonstrates compliance with Code of Conduct and compliance policies and takes action to resolve compliance questions or concerns and reports suspected violations. 29. Performs other duties as assigned.
Sign On Bonus Eligible Default Work Shift: Day (United States of America) Hours: 40 Salary range: $53.00 - $81.13 Schedule: Full Time Shift Hours: 8 Hour employee Department: EDOSC Surgery Job Objective: Provides on unit and department specific education to nursing and allied health staff through informal and formal education programs. Assists Clinical Directors and Clinical Managers in ensuring staff onboarding, initial & ongoing competency management, skills assessment & development, and career-long opportunities for professional growth. Assists in accreditation and regulatory educational requirements and documentation. Job Description: Education: Required: Bachelor of Science in Nursing (BSN) or Master’s in Nursing Licensure/Certification: Required: California Registered Nurse (RN) License; American Heart Association BLS; Must meet requirements for assigned specialty clinical areas Preferred: Certification in Nursing Professional Development; Certification in clinical specialty Experience: Required: Two (2) years of nursing experience in an acute hospital or ambulatory care clinical setting Preferred: Clinical education and professional development experience; experience as a clinical leader/ charge nurse or preceptor Reports To: Clinical Director Supervises: N/A Ages of Patients: All ages Blood Borne Pathogens: High Potential Skills, Knowledge, Abilities: Ability to collaborate and establish/maintain positive interpersonal relationships with all levels of the organization, Ability to establish and maintain effective working relationships, Ability to exercise a high degree of initiative, judgment, and discretion, Ability to teach effectively by using dynamic and unique approaches, Analyses situations accurately and takes effective action, Knowledge and ability to create excellence in service, Knowledge in the nursing management and care of adult, geriatric and pediatric patient population, Knowledge of professional nursing principles, practices, concepts and procedures as applied to the care of the patient population served, Self-motivated and assists with education of staff to facilitate change and improve processes, Strong interpersonal, organizational and analytical skills, Strong leadership skills, Written and verbal communication skills Essential Responsibilities 1.Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations. 2.Utilizes nursing process (assessment, planning, implementation, evaluation and outcomes identification). 3.Fulfills the Nursing Professional Development Practitioner role functions and essential responsibilities as defined and outlined in the Nursing Professional Development Scope & Standards of Practice, including but not limited to: 4.Coordinates orientation program for new hires and transfers within the nursing division 5.Develops/coordinates education plans associated with competency validation 6.Develops/coordinates education to address populations served on assigned units 7.Develops/coordinates education to facilitate the development of the clinical staff and nurses 8.Assesses, plans, implements and maintains materials for educational programs and makes changes as needed to keep material accurate, relevant and current for target audience 9.Evaluates effectiveness of educational programs 10.Incorporates the principles of adult learning in the assessment, planning, implementation and evaluation of educational programs 11.Teaches effectively and uses dynamic and unique approaches to engage target audience. 12.Coordinates and provides courses and classes that promote staff development and competence. 13.Utilizes feedback from physicians, directors, nursing staff and other disciplines to develop education plans for areas assigned. 14.Ensures educational programs are in alignment with the mission, values and goals of EMC 15.Participates in the development of education for regulatory requirements and the management of critical events 16.Responds to needs across organization to promote quality patient care and safety 17.Collaborates with medical staff and other disciplines on programs to facilitate excellence in patient care utilizing the Relationship-Based Care Model 18.Consults with staff to promote professional development with career pathway or as requested by staff/leadership 19.Supports Nursing Research and evidence-based practice 20.Supports the integration of research into nursing practice 21.Incorporates, interprets and communicates research findings into program plans 22.Responds to changes in nursing practice and develops programs to support them 23.Take responsibility for ensuring that the standard work is adopted and cascaded throughout all areas within clinical areas as appropriate. 24.Ensuring the development, implementation, and enforcement of all policies and procedures, including patient rights in clinical setting. 25.Actively participates in and/or effectively leads various committees and workgroups as needed and assigned to improve nursing practice, organizational performance and optimal patient and population outcomes. 26.Builds relationships with educational institutions and clinical practices to coordinate and mentor clinical leaders to develop quality student placement activities for RNs, LVN and CMA/MA, and Technicians. 27.Participates in on site regulatory surveys and development of Corrective Action Plans as needed. 28.Integrates ethical principles as defined by the ANA Code of Ethics in all aspects of practice. 29.Assists with recruitment and retention of nursing staff. Facilitates programs based on organizational needs in relation to recruitment. 30.Provides information, interpretation and guidance to nurses regarding Informatics 31.Serves as a resource and liaison for the documentation, implementation, design and continuous maintenance of clinical information systems 32.Serves as content expert for electronic applications for areas served 33.Assists and supports system implementations and the roll out of new applications and system enhancements 34.Provides guidance in the use of clinical information systems 35.Reviews clinical information system related to areas served for content updates for nursing practice and regulatory requirements 36.Teaches informatics classes for orientation and implementation of new applications 37.Serves as super-user for electronic applications appropriate to assigned areas 38.Assists with monitoring and education within the clinical specialty to ensure quality care and quality outcomes are met in a cost-effective manner 39.Performs other duties as assigned.
