Using objective data, evidence based screening tools, and care team referrals, the CM screens all patients in their assigned caseload to identify those patients who may have discharge needs; who may be at risk for an unplanned readmission within 30 days of acute care discharge; who have a high risk of mortality; who are medically complex and may have a prolonged LOS or who have payer issues. The CM completes a more comprehensive review of these targeted patients to develop a prioritized list of patients they will actively manage. The CM will coordinate with the health care team and the patient/family to address payer issues that impact care, and to develop a transition plan of care that includes a safe discharge plan and plan for follow up with care providers post discharge. The CM ensures that the patient/family agrees with and understands this transition plan and that the plan is implemented appropriately. Works in collaboration with utilization review nurse to ensure that reviews are completed timely.
Qualifications Required Education/
Bachelor of Science in Nursing (BSN). 3 plus year’s clinical experience. Required Certification/Registration:
Current California RN License. BLS for Health Care Provider. Preferred Education/Experience/Specialized Skills/Certification:
Case Management and/or home care experience preferred. Case management certification highly preferred.
Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, age, status as a protected veteran, among other things, or status as a qualified individual with disability.*LI-SH1
Job: RN - Clinical
Primary Location: Central San Diego County-SAN DIEGO-SCRIPPS SYSTEMWIDE RESOURCE SERVICES Work Locations: SCRIPPS SYSTEMWIDE RESOURCE SERVICES 4275 CAMPUS POINT COURT SAN DIEGO 92121
Organization: Scripps Health Corp
Job Posting: May 24, 2017, 6:53:49 PM
Benefit Status: FT - FULL-TIME WITH BENEFITS
Location/Region: San Diego, CA (US)