Description
**Facility:** Sharp Memorial Hospital
**City** San Diego
**Department**
**Job Status**
Regular
**Shift**
Day
**FTE**
1
**Shift Start Time**
**Shift End Time**
Bachelor's Degree in Nursing; Master's Degree; Accredited Case Manager (ACM) - American Case Management Association (ACMA); California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager Certification
**Hours** **:**
**Shift Start Time:**
9 AM
**Shift End Time:**
5:30 PM
**AWS Hours Requirement:**
8/80 - 8 Hour Shift
**Additional Shift Information:**
**Weekend Requirements:**
Every Other
**On-Call Required:**
No
**Hourly Pay Range (Minimum - Midpoint - Maximum):**
$65.250 - $75.720 - $86.180
The stated pay scale reflects the range as defined by the collective bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network, United Nurses Associations of California/Union of Health Care Professionals, NUHHCE, AFSME, AFL-CIO. Placement within the range is based on years of RN experience.
**What You Will Do**
The RN CM II assesses, develops, implements, coordinates and monitors a comprehensive plan of care for each patient/family in collaboration with the physician, social worker and all members of the interdisciplinary team in the inpatient and emergency department patient care areas. This position requires the ability to combine clinical/quality considerations with regulatory/financial/utilization review demands to assure patients are receiving care in the appropriate setting and level of care. The position creates a balance between individual clinical needs with the efficient and cost-effective utilization of resources while promoting quality outcomes. This position requires critical thinking and advanced problem-solving and time management skills. The CM II will partner with ICM leadership to mentor and precept new hires (CMI, SW, LVN Care Coordinators and CRCs).
**Required Qualifications**
Bachelor's Degree in Nursing or equivalent degree.
2 Years recent pertinent clinical experience as defined by the CBA.
3 Years acute care nursing experience or case management experience.
3 Years case management, utilization review, care coordination experience.
California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED
**Preferred Qualifications**
Master's Degree
Certified Case Manager (CCM) - Commission for Case Manager Certification -PREFERRED
Accredited Case Manager (ACM) - American Case Management Association (ACMA) -PREFERRED
**Essential Functions**
Professional developmentThe RN CM II will:Actively participates in the performance planning, competency and individual development planning process. Maintain current knowledge of case management, utilization management, and discharge planning, as specified by Sharp, federal, state, and private insurance guidelines.
Core principlesThe RN CM II will make timely referrals to ensure that the patient is receiving the appropriate care, in the appropriate setting and using the appropriate utilization standards as set by community and professional standard as adopted by the medical RN CM II will assure that the patients from all age groups proceed efficiently through the course of hospitalization and beyond through the continuum of RN CM II will relate and communicate positively, effectively, and professionally with others; be assertive and consistent in following and/or enforcing policies; work calmly and respond courteously when under pressure; lead, supervise, teach, collaborate and accept RN CM II performs other duties as needed.
Organizational relationshipsThe RN CM II will work closely with the healthcare team in reaching unit, facility, and system/network organization goals including reductions in length of stay, decreasing denials, improvement of care transitions, and reduction in avoidable readmissions, improved patient experience, and other quality the emergency departments, the RN CM II will work collaboratively with other members of the interdisciplinary team to develop relationships and provide preadmission status recommendations for admissions as well as implement a comprehensive, integrated discharge plan from the emergency department(ED) for patients who are being discharged to a lower level of RN CM II will recommend and document patient classification (status and level of care) for all admissions utilizing established criterion RN CM II has accountability for maintaining compliance contractual and regulatory compliance with medical groups as applicable and the RN CM II will have excellent interpersonal skills demonstrated by the ability to work effectively with individuals and or teams across disciplines.
Care coordination and discharge planningWithin 24 hours of admission the RN CM II will interview each patient/family for anticipated needs post hospitalization. The plan and interventions will be documented in the electronic medical record (EMR) and other supporting case management RN CM II will ensure patient choice is obtained and documented in accordance with all state and federal regulatory RN CM II will develop and document a plan for the day and plan for the stay with patient, family, providers, and nursing RN CM II will be responsible for leading the daily care coordination (multidisciplinary) rounds, update the plan, and facilitate necessary coordination of RN CM II will document and initiate discharge plan including early referrals and authorization for LTAC, SNF, Rehab, homecare, DME and infusion RN CM II will prepare patient/family for discharge. Document expected discharge date per protocol and arrange discharge pick up appointment with family or significant collaboration with SW partner, the RN CM II will follow standards for routine patient/family RN CM II will ensure effective and safe patient handovers to next level of care; work closely with ambulatory care manager (ACM) at the system level, in clinics, with SCMG and other complex care Case Managers as appropriate, and homecare and sub-acute RN CM II will support the nursing Model of Care by working closely with nursing managers and staff to achieve Patient and Family Centered Care goals: respect and dignity, information sharing, participation and RN CM II will facilitate increased volume of cases discharged early in the day to improve capacity RN CM II will collect and document avoidable day's information in the EMR and in accordance with the department policy/
Compensation Information:
$65.25 / Hourly - $65.25 / Hourly
Starting At: 65.25 Hourly
Up To: 75.72 Hourly
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