RN Case Manager Requirements: + 3+ years of RN Case Manager experience + BLS + EPIC experience + Previous Travel RN exp. + BSN RN preferred Details: Location: Palo Alto, CA Start date: 2/3 Duration: 13 weeks, possible extensions Unit: Case Management Inpatient Shift: Days Hours: 4x10s, 40 hours/week Requirements: CA RN License, 3+ years of RN Case Manager experience , EPIC experience, BLS Pay Rate: + 3+ years of exp: $3,257.40/week = $1,269.40 (hourly) + $1,988 (stipends) + 5+ years of exp: $3,477.40/week = $1,489.40 (hourly) + $1,988 (stipends) The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. Essential Duties and Responsibilities: + Performs and coordinates the initial assessments and ongoing reassessments of the patient’s status + Documents patient case information within a database system + Performs chart review/audits monthly or as needed + Participates in monthly case conferences by providing information pertinent to patient’s needs/goals + Partners with the Program Director in development and review of the patient’s individualized coordination of care plan + Ensures that the patients’ medical needs are addressed; consults with the patients’ physicians as needed, coordinating plans of treatment, and advocating for the patient when necessary + Promotes understanding of the medical factors affecting the targeted population + Identifies and assists patient(s) in accessing entitlements, resources, information, and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers patients in decision-making for care planning + Maintains accurate and timely patient information, which is readily accessible for review and meets all requirements; assists in data collection for reporting/funding sources + Fosters intra-facility and inter-facility working relationships to help accomplish goals; acts as a liaison between primary care providers, specialist, and/or patient + Advocates on behalf of patient regarding accessibility of services + Follows State/County mandated guidelines for the nurse case management programs + Participates in outreach activities to the entire target population, as directed + Recommends program/service changes to meet gaps in service in the community + Performs other duties as assigned/necessary Minimum Requirements: + Current RN licensure in state practicing + At least one year of Case Management experience preferred + Complies with all relevant professional standards of practice + Participation and completion of Amergis' Competency program when applicable + Current CPR if applicable + TB questionnaire, PPD or chest x-ray if applicable + Current Health certificate (per contract or state regulation) + Must meet all federal, state and local requirements + Successful completion of new hire training as applicable to job site + Understand patient confidentiality and HIPAA requirements + Ability to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong communication skills; proficiency in the English language is required + Computer proficiency required + Must be at least 18 years of age A Brief Overview: Case Managers are licensed nursing professionals responsible for coordinating continuum of care and discharge planning activities for a caseload of assigned patients. Major responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services; and ensuring optimum use of resources, service delivery, and compliance with external review agencies' requirements. Case Managers act as consultants to the clinical team, service lines, and other departments regarding patient assessment and patient care and participate in program development and quality improvement initiatives. In their role, Case Managers, by applying guidelines and collaborating with multidisciplinary teams, influence and direct the delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure the most appropriate use of services by patients and, toward that end, to avoid duplication and misuse of medical services, control costs by reducing inefficient services, and improve the effectiveness of care delivery. Objectives are to facilitate timely discharge; prompt, efficient use of resources; achievement of expected outcomes; collaborative practice; coordination of care across the continuum; and performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care practice in that it is not intended to provide direct patient care; rather, a Case Manager will be assigned to specific patients to ensure that the medical services and treatments required are accomplished in the most financially and clinically efficient manner. What you will do: • Coordination of Care -- Manages each patient's transition through the system and transfers accountability to the appropriate person upon entry into another clinical service or discharge. • Discharge Planning - - Coordinates and facilitates timely implementation of discharge plans for assigned patients with complex needs in collaboration with other interdisciplinary team members; arranges follow up care as appropriate. • Education/Consultation -- Acts as an educational resource and provides consultation to patients and their families, hospital medical personnel regarding the discharge planning process and applicable regulatory requirements; educates the staff on case management; and provides specific information related to case types. • Lead Work -- May lead the work of administrative/clinical support staff responsible for assisting with case management for an assigned patient caseload. • Other -- Participates in department program planning, goal setting, systems development, and process improvement; participates in department and hospital committees and task forces; develops and maintains documentation of findings, discharge arrangements, and actions taken according to departmental guidelines; prepares and maintains records as required; collects, analyzes and reports on data for utilization, quality improvement, compliance, and other areas as assigned. • Patient Assessment / Plan of Care -- Functions as a resource to and collaborates with physicians, social workers, nurses, and other interdisciplinary team members to assess, plan, and coordinate patient care needs and/or performs patient assessment and develops a plan of care to assure consistent, timely, and appropriate care is provided in a patient-focused manner. • Quality Improvement -- Participates in quality improvement activities by identifying opportunities for improvement in such areas as clinical outcomes, utilization of resources and concurrent data collection; participates in clinical process improvement teams within the department, service lines, and hospital. • Third-Party Reimbursement -- Collects, analyzes reports and reviews patient information with third-party payers to assure reimbursement for patient services/procedures. Communicates with review organizations / payers to provide requested clinical and psychosocial information to assure reimbursement. • Utilization Review -- Reviews prospectively, concurrently and retrospectively all inpatients for appropriateness of admission, level of care, and determines appropriate length of stay. Monitors patients' length of stay and collaborates with physicians to ensure resource utilization remains within covered benefits and are appropriate in relationship to the patient's clinical and psychosocial needs; plans and implements (through multi-disciplinary meetings or rounds) strategies to reduce length of stay, reduce resource consumption, and achieve positive patient outcomes analyzes and addresses aggregate variances as well as variances from individual patients and shares this information with staff, physicians, and administration. Education Qualifications: • Bachelor's Degree from an accredited college or university. Required Knowledge, Skills and Abilities: • Ability to collect and record data, evaluate data and statistics, and maintain effective reporting systems • Ability to develop and perform patient assessment and plan of care • Ability to monitor and assure the patient's access to the appropriate level of care; the right health care providers; and the correct setting and services to meet the patient's needs; promote coordination and continuity in patient health care • Ability to provide age-appropriate assessments, interpretation of data, and delivery of interventions • Ability to provide appropriate patient care and clinical information when patients are admitted, referred, transferred, or discharged • Ability to remain knowledgeable regarding available treatments and services • Ability to resolve conflicts and/or negotiate with others to achieve positive results; establish and maintain effective interpersonal relationships • Ability to understand, interpret and apply complex federal and state hospital compliance laws, rules, regulations and guidelines • Ability to work effectively with individuals at all levels of the organization • Knowledge of available patient services and treatment • Knowledge of current theories, principles, practices, standards, emerging technologies, techniques and approaches in the nursing profession, and the health care system, and the responsibility and accountability for the outcome of practice • Knowledge of evaluation and assessment techniques • Knowledge of financial processes of various private and public funding sources for health care services/procedures • Knowledge of hospital operations, organization, systems and procedures and laws and regulations pertaining to the operation of hospitals in California • Knowledge of medical terminology and related levels of care and treatment • Knowledge of the full continuum of care available to patients, interrelationships of the care components, and their effective integration • Knowledge of the models of case management, including the principles and practices of discharge planning, utilization review, and quality assurance/improvement Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: + Competitive pay & weekly paychecks + Health, dental, vision, and life insurance + 401(k) savings plan + Awards and recognition programs *Benefit eligibility is dependent on employment status. About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions. Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.