AHMC Healthcare

Lead Case Manager

Posted Date 1 year ago(8/16/2019 1:35 PM)
Location : Location
US-CA-San Gabriel

Overview

Provides assistance and guidance to Case Managers, and assumes leadership role in absence of Director.  Monitors the admissions, continued stay, and discharge of patients following pre-­established criteria.   Assures that patients meet InterQual criteria from admission to discharge including appropriateness of level of care.   Conducts interdisciplinary care management rounds. 

  • Ensures collaboration between multidisciplinary healthcare team members, primary physician, community agencies, HMOs/PPOs, CCS, etc., whose services may be required and/or related to the care needs of the patient after hospital discharge.
  • Monitors nursing and medical plans of care/discharge plans and provides appropriate interventions to assure care is appropriate, coordinated and that avoidable patient days are addressed effectively through education, consultation, and counseling as needed.
  • Ensures that appropriate discharge information and instructions are provided to the primary care giver and communicated to the primary physician and/or follow-up care agency. 
  • Assures patients are transferred to appropriate approved facilities when required.

This position requires providing service to an ill through rehabilitating neonatal through geriatric patient population in a manner that demonstrates an understanding of the functional/developmental age of the individual served.

Qualifications

  • Graduate of an accredited RN School of Nursing.
  • Minimum of four (4) years recent acute care experience, preferably in a critical care setting.
  • Must have HMO UR experience.
  • Current California RN License.
  • Current BLS Card.
  • Current MAB Certification (BMC).
  • Broad knowledge of medical and allied health sciences.
  • Demonstrated ability to measure screening criteria against the documented medical record.
  • Bilingual in Spanish (preferred).

Facility

San Gabriel Valley Medical Center

Req ID

req5252

Shift

Days

Category

Nursing

Position Type

Regular Full-Time

Department

Utilization Management

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