RN Case Manager SNF & Acute Rehabilitation

Desert Regional Medical Center is a 385-bed acute-care hospital classified as a stroke receiving center and level 2 trauma facility with an innovative, patient centered and evidence-based Rehabilitation Services Department. Our compassionate team provides a wide range of inpatient and outpatient services, including acute care rehabilitation, joint replacement & spinal surgery, neurosurgery, ICU, Telemetry, step-down care, skilled nursing, as well as outpatient therapy, hand and lymphedema clinics.

**Up to $25,000 Sign on Bonus for Qualified Candidates **

GENERAL DUTIES:

The individual in this position has overall responsibility for overseeing the clinical plan of care to conform to evidence-based practice and regulatory requirements. This position integrates care coordination, utilization management, and discharge planning.

The individuals responsibilities will include, but not be limited to the following activities: a) medical necessity screening b) care coordination c) discharge planning d) facilitating multi-disciplinary patient care conferences e) managing concurrent disputes f) making the appropriate referrals to other departments (e.g., nutrition, PT/OT/ST) g ) referring complex social issues to Social Service h ) communicating with patients and their families about the plan of care i) collaborating with physicians, office staff and ancillary departments (e.g., lab, pharmacy) j) participating in weekly interdisciplinary team (IDT) meetings k) arranging for postdischarge patient education l) clear, complete and concise documentation in eMR m) maintaining accuracy of patient demographic and insurance information n) identifying and documenting potentially avoidable days and barriers to discharge o) identifying and reporting over and under utilization o) and other duties as assigned.

This position has primary responsibilities for the SNF with support provided to the Acute Rehabilitation Facility.

Attends hospital workshop led by the Director of Case Management or designee that includes the Tenet Case Management Model, InterQual, Discharge Planning, Utilization Management, and other topics specific to case management.

Information used to perform job: patient data, healthcare staff documentation related to patient care, regulatory and payer requirements

Software used to perform job: Cerner EMR, Clinical data interface, InterQual, Case Management documentation, secure faxing, Avoidable Day tracking, Patient Medical Record along with HPF and other Hospital specific Clinical Software

Shift: Days

Hours: 8:00am - 4:30pm

Schedule: Monday - Friday