Loma Linda, CA, 92357, USA
1 day ago
RN Case Manager
Job Title: RN Case ManagerJob Description We are seeking a skilled RN Case Manager who thrives in a fast-paced environment and utilizes clinical expertise, discretion, and independent judgment to perform the nursing process, including assessment, care planning, intervention, and evaluation within a patient-centered care professional practice model (Duffy’s Quality-Caring Model). The role involves specialized case and utilization management methodologies and practices, ensuring medical appropriateness criteria (medical necessity) are met for the level of care provided, documented from admission through discharge. The RN Case Manager will practice in a collaborative healthcare environment, overseeing the implementation of a well-thought-out interdisciplinary plan of care, including an individualized discharge plan that comprehensively meets the continuing healthcare needs of the patient. The plan of care will be continuously reevaluated to ensure continued appropriateness based on the patient’s changing needs and condition. Responsibilities + Perform nursing process including assessment, care planning, intervention, and evaluation. + Maintain working knowledge of specialized case and utilization management methodologies and practices. + Ensure medical appropriateness criteria (medical necessity) are met and documented from admission through discharge. + Oversee the implementation of an interdisciplinary plan of care with an individualized discharge plan. + Reevaluate the plan of care to ensure continued appropriateness based on the patient’s changing needs and condition. Essential Skills + Case management + Acute care + Care coordination + Must have 2 years of acute inpatient experience + Trauma 1 level hospital experience + Discharge planning Additional Skills & Qualifications + RN license + 2 years of acute care case management experience + BLS from AHA Work Environment The position operates in a trauma level 1 acute care setting with a capacity of 400 beds. The RN Case Manager will work in a collaborative healthcare environment on the day shift. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. Diversity, Equity & Inclusion At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through: + Hiring diverse talent + Maintaining an inclusive environment through persistent self-reflection + Building a culture of care, engagement, and recognition with clear outcomes + Ensuring growth opportunities for our people The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.
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