SRS – Case Manager – RN – Per Diem – Variable Shift

Hours:

Shift Start Time:

7:30 AM

Shift End Time:

4 PM

AWS Hours Requirement:

8/40 - 8 Hour Shift

Additional Shift Information:

Weekend Requirements:

As Needed

On-Call Required:

No

Hourly Pay Range (Minimum - Midpoint - Maximum):

$68.450 - $88.330 - $98.920

 

The stated pay scale reflects the range that Sharp reasonably expects to pay for this position.  The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. 

 

What You Will Do
The SRS 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.

Required Qualifications

• Bachelor's Degree in Nursing
• 3 Years acute care nursing experience or case management experience
• 3 Years recent case management, utilization review, care coordination experience
• California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED

Preferred Qualifications

• Master's Degree in Nursing
• Certified Case Manager (CCM) - Commission for Case Manager Certification -PREFERRED

Essential Functions

• Professional development
  The SRS 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 principles
  The SRS 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 staff.
  The SRS 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 care.
  The SRS 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 direction.
  The SRS RN CM II performs other duties as needed.
• Organizational relationships
  The SRS 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 initiatives.
  The SRS RN CM II will recommend and document patient classification (status and level of care) for all admissions utilizing established criterion sets.
  The SRS RN CM II has accountability for maintaining compliance contractual and regulatory compliance with medical groups as applicable and the hospital.
  The SRS 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 planning
  Within 24 hours of admission the SRS RN CM II will interview each patient/family for anticipated needs post hospitalization. The plan and interventions will be documented in the EMR (e.g., Cerner), and case management software (e.g., Allscripts).
  The SRS RN CM II will develop and document a plan for the day and plan for the stay with patient, family, providers, and nursing staff.
  The SRS RN CM II will be responsible for leading the daily care coordination (multidisciplinary) rounds, update the plan, and facilitate necessary coordination of services.
  The SRS RN CM II will document and initiate discharge plan including early referrals and authorization for SNF, Rehab, homecare, DME and infusion services.
  The SRS RN CM II will prepare patient/family for discharge. Document expected disch