AHMC Healthcare

  • Lead Case Manager

    Posted Date 4 months 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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