Acute Care, Ambulance Services, Case Management, Certified Case Manager (CCM), Content Management Systems (CMS), Cross-Functional, Discharge Plans, Documentation, Durable Medical Equipment, Electronic Medical Records, Health Maintenance Organization (HMO), Healthcare, Home Care, Homeless Services, Hospital, Insurance, Maintain Compliance, Nursing, Patient Assessment, Patient Care, Protective Services, Psychiatry and Mental Health, Registered Nurse (RN), Regulations, Rehabilitation Medicine, Resource Utilization, Social Work, Substance Abuse, Substance Abuse Treatment, Time Management, Treatment Evaluation, Treatment Plan, Willing to Travel
Profession: Registered Nurse
Specialty: Case Manager
Location: Mission Viejo, CA
Facility: Short Term Acute Care
Job Type (Per Diem/Travel Contract):
Hourly Pay Rate: $57 - $60
Shift: 40 hours, Day Shift
Duration: 13 weeks contract
Responsibilities
- Perform comprehensive patient assessments to identify clinical, psychosocial, and discharge planning needs.
- Develop, implement, and evaluate individualized case management plans.
- Coordinate patient care across multidisciplinary teams to ensure continuity of care.
- Facilitate discharge planning, including post-acute care placement, home health services, rehabilitation, durable medical equipment (DME), and community resources.
- Review patient progress, monitor length of stay, and support efficient utilization of healthcare resources.
- Collaborate with physicians, nursing staff, social workers, and insurance providers to ensure appropriate levels of care.
- Maintain accurate and timely documentation in the electronic medical record (EMR).
- Ensure compliance with hospital policies, CMS guidelines, regulatory standards, and payer requirements.
- Advocate for patients and families while promoting safe, high-quality outcomes.
Requirements
Experience Required: 2-year acute medical Care Manager experience performing Care Coordination
Experience: Travel experience required
License Required: CA State License
Certifications Required: BLS
Charting: EPIC required
Special Procedures/Unit Details:
• Experience with Assessing patients, Care Coordination, and Discharge Planning.
• Ability to organize and participate in family meetings.
• Participate in the development of the treatment plan.
• Experience with HMOs, IPAs, etc.
• Knowledge of adoption/foster care, drug/alcohol abuse treatment options, patients experiencing homelessness, patients with mental health history or in crisis, advance directive, POLST, protective services process, etc.
• Competent with arranging DME, SNF and ambulance transport. Must be able to perform this task independently.