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RN Case Management
Los Angeles, CARN-CM-Travel - 13 weeks
Start: ASAP -Day Shift
Variable days including weekends
Chart review of Medicare, other federally funded, and private insurance patients according to contract requirements using currently approved criteria. The goal is to evaluate the appropriateness of the admission and the continuing levels of care, using established guidelines for quality of care and reimbursement purposes.
1. Complies with hospital, department and unit standards, including but not limited to safety, CPR, infection control, quality management, environmental, confidentiality, and patient care.
2. Performs assessment/data collection.
a. Assess patients for level of care etc.
3. Formulates goal directed plan based on patient outcomes.
a. Initiates, individualize, and modifies plan of care.
b. Collaborates with other services.
c. Plans discharge/transfer.
4.Implements role based on department and hospital standards.
a. Follows established protocols and procedures.
5. Evaluates effectiveness of care.
6. Identifies patient/significant other learning needs and demonstrates measures to meet these.
7. Delegates to appropriate patient care team members.
8. Demonstrates applied knowledge when evaluating care for selected patient populations including care appropriate to the age of patients served on the unit.
9. Demonstrates competency in selected administrative skills. Includes but not limited to:
a. Preparing and modifying HMO list.
b. Performing charts reviewing to evaluate length of stay
c. Performing clinical reviews of HMO and PPO patients.
d. Performing discharge planning.
e.Performing retroactive reviews.
10. Demonstrates responsibility and accountability for own professional practice in regards to:
a. Attendance, punctuality, and confidentiality.
b. Positive public relation image and working relationships.
c. Obtaining necessary knowledge and skill needed to maintain competence.
d. Completing all mandatory requirements, including annual safety films, CPR, infection control and annual physical.
11. Participates in the development and attainment of team, department and hospital goals including:
a. Attending and participating in team meetings.
b. Volunteering or accepting assignment for projects.
c. Mission, vision and team ground rules.
12. Demonstrates documentation on patient care records and unit forms.
13. Performs other related duties as assigned.
Ability to determine acuity of medical condition through knowledge of medical terminology and knowledge of resource persons and places
- Coding and abstracting experience
- Excellent communication and public relations skills
Start: ASAP -Day Shift
Variable days including weekends
Chart review of Medicare, other federally funded, and private insurance patients according to contract requirements using currently approved criteria. The goal is to evaluate the appropriateness of the admission and the continuing levels of care, using established guidelines for quality of care and reimbursement purposes.
1. Complies with hospital, department and unit standards, including but not limited to safety, CPR, infection control, quality management, environmental, confidentiality, and patient care.
2. Performs assessment/data collection.
a. Assess patients for level of care etc.
3. Formulates goal directed plan based on patient outcomes.
a. Initiates, individualize, and modifies plan of care.
b. Collaborates with other services.
c. Plans discharge/transfer.
4.Implements role based on department and hospital standards.
a. Follows established protocols and procedures.
5. Evaluates effectiveness of care.
6. Identifies patient/significant other learning needs and demonstrates measures to meet these.
7. Delegates to appropriate patient care team members.
8. Demonstrates applied knowledge when evaluating care for selected patient populations including care appropriate to the age of patients served on the unit.
9. Demonstrates competency in selected administrative skills. Includes but not limited to:
a. Preparing and modifying HMO list.
b. Performing charts reviewing to evaluate length of stay
c. Performing clinical reviews of HMO and PPO patients.
d. Performing discharge planning.
e.Performing retroactive reviews.
10. Demonstrates responsibility and accountability for own professional practice in regards to:
a. Attendance, punctuality, and confidentiality.
b. Positive public relation image and working relationships.
c. Obtaining necessary knowledge and skill needed to maintain competence.
d. Completing all mandatory requirements, including annual safety films, CPR, infection control and annual physical.
11. Participates in the development and attainment of team, department and hospital goals including:
a. Attending and participating in team meetings.
b. Volunteering or accepting assignment for projects.
c. Mission, vision and team ground rules.
12. Demonstrates documentation on patient care records and unit forms.
13. Performs other related duties as assigned.
Ability to determine acuity of medical condition through knowledge of medical terminology and knowledge of resource persons and places
- Coding and abstracting experience
- Excellent communication and public relations skills