Nursing Jobs in Santa Clarita, CA

Case Manager Utilization RN, Per Diem Day

Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient and other disciplines to coordinate a safe and acceptable discharge plan. Functions as an indirect caregiver, patient advocate and manages patients in the most cost effective way without compromising quality. Transfers stable non-members to planned Health care facilities. Responsible for complying with AB 1203, Post Stabilization notification. Complies with other duties as described. Must be able to work collaboratively with the Multidisciplinary team, multitask and in a fast pace environment. Essential Responsibilities: Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of appropriate, individualized plans of care to ensure continuity, quality and appropriate resource use. Recommends alternative levels of care and ensures compliance with federal, state and local requirements. Assesses high risk patients in need of post-hospital care planning. Develops and coordinates the implementation of a discharge plan to meet patients identified needs; communicates the plan to physicians, patient, family/caregivers, staff and appropriate community agencies. Reviews, monitors, evaluates and coordinates the patients hospital stay to assure that all appropriate and essential services are delivered timely and efficiently. Participates in the Bed Huddles and carries out recommendations congruent with the patients needs. Coordinates the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and obtaining all authorizations/approvals as needed for outside services for patients/families. Conducts daily clinical reviews for utilization/quality management activities based on guidelines/standards for patients in a variety of settings, including outpatient, emergency room, inpatient and non-KFH facilities. Acts as a liaison between in-patient facility and referral facilities/agencies and provides case management to patients referred. Refers patients to community resources to meet post hospital needs. Coordinates transfer of patients to appropriate facilities; maintains and provides required documentation. Adheres to internal and external regulatory and accreditation requirements and compliance guidelines including but not limited to: TJC, DHS, HCFA, CMS, DMHC, NCQA and DOL. Educates members of the healthcare team concerning their roles and responsibilities in the discharge planning process and appropriate use of resources. Provides patients with education to assist with their discharge and help them cope with psychological problems related to acute and chronic illness. Per established protocols, reports any incidence of unusual occurrences related to quality, risk and/or patient safety which are identified during case review or other activities. Reviews, analyses and identifies utilization patterns and trends, problems or inappropriate utilization of resources and participates in the collection and analysis of data for special studies, projects, planning, or for routine utilization monitoring activities. Coordinates, participates and or facilitates care planning rounds and patient family conferences as needed. Participates in committees, teams or other work projects/duties as assigned.

LVN

Per Diem

10 hours ago

LVN Sub Acute Per-Diem Days

CHA Hollywood Presbyterian Medical Center Los Angeles, CA

$41.67 - $48.37 / hour

CHA Hollywood Presbyterian (CHA HPMC) is a nationally recognized acute care facility that has been caring for the Hollywood community and Los Angeles Areas since 1924. Join our Global Network and be a CHA Global Ambassador CHA HPMC is also a part of the world-renown CHA Health System (CHS). CHS has CHA University which consists of 14 education institutions including medical school, nursing school and pharmacy. CHA global network operates 81 hospitals and specialty clinics, 30 research and 31 bio/pharmaceutical/healthcare companies with 14,000 employees in seven countries. Our New Facility is seeking for Top Talents The best women’s hospital in Los Angeles is looking for current RN candidates to staff Operating Room, Emergency Department, Labor & Delivery and Mother-Baby care units to be housed in our expanding new patient tower facility scheduled to open next year. Come be a part of this dedicated and caring team right in the heart of Hollywood. Position Summary: Performing duties in a manner that provides for the physical, psycho-social and spiritual needs of the patient including assisting in completing initial gathering of necessary data in a timely manner; performing ongoing monitoring when warranted by the patient’s condition. Incorporates cultural and ethnic factors into patient care approaches; correctly differentiating between normal and abnormal findings; and incorporates the functional/developmental age into patient care approaches for the adult through geriatric patient population. Using hospital and regulatory standards of care, the LVN demonstrates sound clinical judgment in the implementation and evaluation of the nursing aspects of the trans-disciplinary care plan. In conjunction with the patient/family, the LVN participates in developing an individualized patient care plan and implementing interventions based on findings. The LVN evaluates and reports patient outcomes on an ongoing basis, follows through on established priorities for patient care services as evidenced by modification of the care plan, if necessary, and demonstrates the ability to accurately document patient care activities in the patient’s medical record. Provides routine pre-operative nursing care and demonstrates ability to manage mechanical ventilation. Participating in a case management approach, the LVN coordinates and collaboratively incorporates the aspects of patient care across the continuum by effectively communicating with physicians, staff and other disciplines. Safely and competently administers pharmacotherapeutics adhering to medication policies, procedures, practices and standards, and monitors and reports the resultant outcomes based upon the patient’s response to treatment. Acts appropriately to ensure patient safety based on the physical environment, equipment and the patient’s behavior. Thorough knowledge and competency in the Trach care, ventilator patients, wounds and treatments for the long term patient in conjunction with the Enterostomal Therapist. Total responsibility on providing medications under direction of the Charge Nurse. Demonstrating the ability to provide care in emergency situations and following established emergency procedures and practices. Communicating and following the organizational chain of command for notification of patient care/service issues, when appropriate. Maintaining knowledge of, and implements patient care activities to promote, maintain and/or restore health for the adolescent through geriatric rehabilitation patient population as described in the Rehabilitation policies/procedures including the skills competency check list. The LVN also provides appropriate care through the healthcare continuum including end of life. Assuring that the rights of all patients are respected and maintained by allowing for privacy and dignity in the provision of care. Determining the presence and type of Advance Directive, if applicable. Ensuring patient and/or family involvement in the decision-making process as it relates to patient care, end of life and ethical issues. The LVN is aware of the reporting responsibilities and reports suspected cases of abuse or neglect relative to the adult through geriatric patient population as appropriate. Participating in the identification of patient/family educational needs and provides individualized teaching which considers the functional/developmental age and the needs of the adult through geriatric patient population. The LVN monitors and documents the effectiveness of the patient/family teaching through determination of their comprehension of the instruction and demonstration of appropriate responses. Demonstrating knowledge of age specific care, including but not limited to, identifying the need for additional safety measures, physiological normal values/readings; and assessing skin integrity, behavior, motor skills and/or activities that place patients at risk as well as communicates effectively in a clear, concise, understandable manner. Applicable for the following patient populations: Adult ( x ) Geriatric ( x ) Practicing Universal Precautions. Qualifications: Minimum Education: Graduate from an accredited Vocational Nursing Program Preferred Education: Recent graduate within 6 months from an accredited Vocational Nursing Program Minimum Work Experience and Qualifications: Newly graduated LVN with a total of less than 6 months nursing experience in any area by the start of the program Ability to communicate effectively verbally and in writing. Must be able to work in a union environment. Preferred Work Experience and Qualifications: N/A Required Licensure, Certification, Registration or Designation: Current and Valid California Vocational Nurse License BLS Card Current Los Angeles County Fire Card required (within 30 days of employment) Shift: Days Hours: 12 Shift Hours: 6:45AM - 7:15PM Weekly Hours: 12 Type: Per-Diem FTE: 0.3