Since1972, Placentia-Linda Hospital has expanded right along with north OrangeCounty. As our communities grow, we continue to offer a full range of medicalservices to meet your familyâs needs. One thing remains the same â our caringand compassionate staff, which is committed to providing excellent quality andcustomer satisfaction. The numerous awards and distinctions weâve earneddemonstrate that. The Joint Commission, the leading accreditor of healthcareorganizations in America, once again named Placentia-Linda Top Performer on KeyQuality Measures in 2014. The hospital was recognized for exemplary performancein using evidence-based clinical processes that are shown to improve care forcertain conditions.
We offer competitive salaries and benefits including amatching 401(k), several health & dental plans to choose from, generoustuition assistance plans, and relocation assistance for select positions.
The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patientâs resources and right to self-determination. The individual in this position has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to promote timely throughput, safe discharge and prevent avoidable readmissions. This position integrates national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention, transition management promoting appropriate length of stay, readmission prevention and patient satisfaction, care coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care, compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy and education provided to physicians, patients, families and caregivers. The individualâs responsibilities include the following activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c) transitionplanning assessment and reassessment, d) implementation or oversight of implementation of the transition plan, e) leading and facilitating multi-disciplinary patient care conferences, f) managing concurrent disputes, g) making appropriate referrals to other departments, h ) identifying and referring complex patients to Social Work Services, i) communicating with patients and families about the plan of care, j) collaborating with physicians, office staff and ancillary departments, k) leading and facilitating Complex Case Review, l) assuring patient education is completed to support post-acute needs , m) timely complete and concise documentation in Case Management system, n ) maintenance of accurate patient demographic and insurance information, o) identification and documentation of potentially avoidable days, p) identification and reporting over and underutilization, q) and other duties as assigned.
Required skills include demonstrated organizational skills, excellentverbal and written communication skills, ability to lead and coordinateactivities of a diverse group of people in a fast paced environment, criticalthinking and problem solving skills and computer literacy.
Current Registered Nurse license with at leasttwo years acute hospital patient care experience.
Accredited Case Manager (ACM) preferred.
Acute hospital case management experiencepreferred.
Job: Case Management/Home Health
Primary Location: Placentia, California
Facility: Placentia-Linda Hospital
Job Type: PT1
Shift Type: Days
If Other Shift, Specify: everyother weekend
Employment practices will not be influenced or affected by an applicantâs or employeeâs race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.