Job Location : Sacramento,CA, USA
Lifepoint Health is seeking a Registered Nurse (RN) Case Management for a nursing job in Sacramento, California.
Job Description&RequirementsDescription
UC Davis Rehabilitation Hospital is a free-standing post-acute inpatient rehabilitation hospital operated jointly between UC Davis Health and Lifepoint Health. This new 58,000 square foot 52-bed hospital will be the first free-standing physical rehabilitation hospital in Sacramento. The facility will have all private rooms and focus on acute rehabilitation for patients who suffer from stroke, traumatic brain injury, spinal cord injury, complex neurological disorders, orthopedic conditions, multiple trauma, amputation and other injuries or disorders. The large multidisciplinary therapy gymnasiums will be outfitted with the latest therapeutic technologies, including augmented reality balance training, therapy bionics and a full body exoskeleton.
If you are an enthusiastic individual seeking an environment dedicated to superior patient care and an organization with a strong mission to serve our community, we invite you to apply!
Our Benefits:
What you will do in this role:
• Completes departmental orientation, initial and annual competencies.
• Assists with departmental specific performance improvement initiatives collecting and reporting data as requested by supervisor.
• As appropriate, consults other departmental staff to collaborate in patient care delivery, identify barriers to care and or discharge and develop solutions/resolution.
• Completes documentation per workflow timeline and content requirements including completion of the Individual Plan of Care (IPoC) per CMS guidelines.
• Schedules family conferences and/or communicates with caregiver following each team conference and more often as needed to keep patient and designated caregiver informed of progress and provides appropriate information related to goal achievement, course of rehabilitation stay, and plans for discharge.
• Coordinates weekly patient care team conferences to facilitate development, monitoring and refinement of treatment plan to achieve identified patient goals and outcomes.
• Reviews the patient's assigned CMG and helps the team identify any potential missed comorbid conditions that are actively being treated during the patient's stay. Communicates any findings to the HIM team.
• Communicates effectively with nursing, therapy and other ancillary departments to ensure proper utilization.
• If no Lead Case Manager, the CM participates as the facility representative for national CM Conference calls and communicates new information to the facility CMs.
• Assists with concurrent and retrospective utilization review activities including denials and appeals. Works with physicians to conduct peer review with payer medical director when indicated.
• Ensures clinical updates are provided to all insurance payers when due and all payer communications are documented in Meditech.
• Coordinates discharge planning needs including but not limited to; home health services, physician follow up care, durable medical equipment, medical supplies, healthcare services, outpatient therapy, dialysis, skilled nursing care, assisted living care, hospice care, private duty care, etc. Responsible for coordinating all patient care needs prior to discharge ensuring a safe thorough discharge plan. Ensures patient choice is offered and documented as per CMS' Conditions of Participation for Discharge Planning.
• Identifies trends that impact the quality, cost effectiveness, patient experience and delivery of care services and brings to departmental leadership meetings for discussion and action.
• Performs intake assessment on patient within 24 to 72 hours of admission, preferably within 48 hours.
• Performs follow-up assessments per Case Management Plan and/or hospital policy.
• Demonstrates an ability to be flexible, organized and function under stressful situations.
• Other duties as assigned.
QualificationsSalary: $125,000 - $165,000/ annually.We would expect those hired into this job would be paid within this rate, however, certain circumstances may allow us to pay outside of this rate
UC Davis Rehabilitation Hospital provides ongoing care to patients in their recovery journey. We offer customized, intensive rehabilitation tailored to the individual needs of those recovering from stroke, brain injury, neurological conditions, trauma, spinal cord injury, amputation, and orthopedic injury. Our hospital strives to maximize the health, function, and quality of life of those we serve through comprehensive physical medicine and rehabilitation programs.
Lifepoint Health Job ID #534190. Posted job title: Rn - Case Management
About Lifepoint HealthAt Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, you will be an integral part of a group working together to elevate Lifepoint's healthcare delivery network. Our network includes 60+ community hospitals, 60+ rehabilitation/behavioral health hospitals, and 250 additional sites of care across the United States. As an organization, we are dedicated to serving communities nationwide by providing exceptional care. We believe in the power of our talented teams and strive to create environments where employees find purpose and fulfillment.
Compensation Information:$125000.00 / Yearly - $165000.00 / Yearly