Description:

Providence is calling a Case Manager to Providence Little Company Of Mary Medical Center in San Pedro, CA

Please upload a current resume and complete application reflecting all relevant experience.

We are seeking a Case Manager who wil perform the primary functions of assessment, planning, facilitation and advocacy, which are achieved through collaboration with the client and other health care professionals involved in the client's care.

In this position you will:

Establish priorities.

Consider evidenced-based protocols for new patients

Keep running problem sheet on the patient, so hand-offs are easy

Diagnostics to be reviewed or ordered

Interactions with sub-specialists

Consult requests

Post-acute options and confirmation of targeted transition

Accuracy and completeness of medical documentation

Start the discharge planning on admission to evaluate probable post-acute needs and target a transition date

Care Management:

Be responsible for established Ministry and Regional metrics

Monitor specific CM/SW outcomes

Participate in regional and system directives

Conduct a comprehensive assessment of the clients health and psychosocial needs, including health literacy status and deficits, and develops a case management plan collaboratively with the client and family or caregiver

Plan with the client, family or caregiver, the primary care physician/ provider, other health care providers, the payer, and the community, to maximize health care responses, quality, and cost effective outcomes

Facilitate communication and coordination between members of the health care team, involving the client in the decision-making process in order to minimize fragmentation in the services

Educate the client, the family or caregiver, and members of the health care delivery team about treatment options, community resources, insurance benefits, psychosocial concerns, case management, etc., so that timely and informed decisions can be made

Empower the client to problem-solve by exploring options of care, when available, and alternative plans, when necessary, to achieve desired outcomes

Encourage the appropriate use of health care services and strives to improve quality of care and maintain cost effectiveness on a case-by-case basis

Assist the client in the safe transitioning of care to the next most appropriate level

Strive to promote client self-advocacy and self-determination

Advocate for both the client and the payer to facilitate positive outcomes for the client, the health care team, and the payer. However, if a conflict arises, the needs of the client must be the priority

Qualifications:

Required qualifications for this position includes:

Bachelor's Degree

California State Registered Nurse License

Two years of acute hospital experience, including one year of supervisory experience

Special Skills/Desirable Qualifications:

Must be tactful and proficient at conflict resolution

Must be able to work well independently and with a team

Judgment must include ability to make accurate, rapid and long-term decisions under pressure

Must be able to project a positive self-image

Must be self-motivated

Must have good oral and written communication skills

Strong leadership, supervision interpersonal and organizational skills

Excellent communication skills, both oral and written

Excellent customer services skills

Strong problem-solving skills and flexibility

Demonstrated ability to work independently and self-directed

Ability to plan, organize, prioritize, evaluate and document

Excellent presentation skills

Basic computer skills, Word, Excel, Access and PowerPoint

Knowledge regarding State and Federal regulations, HMO, PPO and Utilization processes

Knowledge of Discharge planning and Case Management

Knowledge of principles and practices of Utilization and Quality Management

Knowledge of CPT, IDC-9 Coding

Strong knowledge base or experience in specialty area assigned

Preferred qualifications for this position include:

Master's Degree in health care related field

About the hospital you will serve

Providence Little Company of Mary Medical Center San Pedro is a 259-bed nonprofit hospital that has served the Harbor and greater South Bay communities since 1925. Our Medical Center offers a comprehensive array of medical and surgical services each distinguished by innovation, quality and excellence in its respective area. We received the CHART Certificate of Excellence for receiving superior or above average results across the majority of outcomes and process measures publicly reported by CHART. We ranked in the top 21 among more than 240 hospitals throughout the state compared by California Healthcare Foundation, and were the first location in the South Bay to carry the Gold Seal of Approval from The Joint Commission for Primary Stroke Centers. As a member of Providence, we are continually driven by the caring tradition of our heritage the foundation of our Mission and core values to embrace compassion, dignity, justice, excellence and integrity. Providence today celebrates unprecedented growth, recognition for top quality health care, a vibrant employee culture where new ideas are encouraged and a drive to help the underprivileged - all with an eye toward the future.

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

https://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of Gods healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: On Call

Shift: Variable

Job Category: Case Management

Location: California-San Pedro

Req ID: 355429

Job Details:

Posted Date : 2022-05-07

Job type : Full Time

Learn More & Apply

Apply