Job Description
Align yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company's Workplace of the Year. This award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. Join us, and discover why U.S. News & World Report has named us one of America's Best Hospitals!
What You Will Do in This Role:
A Registered Nurse Case Manager plans and coordinates care of the patient from pre-hospitalization through discharge. Works with all members of the health care team to ensure a collaborative approach is maintained in care and treatment of the patient. Reviews care and treatment for appropriateness against screening criteria and for infection control, quality services for continued stay and through discharge. Plans and coordinates home care services and needs. Coordinates the discharge planning function in conjunction with the social worker. Participates in education on and implementation of clinical guidelines and protocols. Provides or arranges patient teaching as appropriate. Works closely with social workers to integrate psychosocial management of patient/family needs.
Primary Duties and Responsibilities:
• Performs evaluation and or assessment within the established/communicated timeframe • Documents appropriate reviews for assigned patients using utilization review tool • Provides telephonic review for identified contracted/private patients • Collaborates with on-site and/or outside reviewers • Keeps patients informed of progress and provides information related to disease progression • Collaborates with discharge planner to make orders and arranges for home care equipment, healthcare needs, and works with third-party payers to validate orders • Educates patients and families on all aspects of patients' hospitalization and continuing care • Assumes responsibility for timely completion of required case management reports for regulatory bodies, health plans, and insurance carriers • Interacts professionally with patient/family/caregivers and involves them in the formation of the plan of care and discharge needs • Coordinates with multidisciplinary team to ensure the identification of a safe and appropriate discharge plan for each assigned patient • Maintains department cleanliness and safety
Qualifications
Education: Associates degree in Nursing (required) Bachelors degree in Nursing (preferred)
Certifications/Licenses: Current and valid California RN License (required) Certified Case Manager (CCM) or Accredited Case Manager (ACM) (preferred)
Experience: Minimum of 2 years of nursing experience in an acute care setting (required) Minimum of 1 year of Case Management experience (preferred)
Cedars Sinai is one of the largest nonprofit academic medical centers in the United States, and it is the largest private academic medical center in the Western United States. The Cedars Sinai main campus, which encompasses nearly 24 acres, is located at the point where the cities of Los Angeles, Beverly Hills, and West Hollywood meet. Cedars Sinai has been recognized annually by U.S. News & World Report’s top 10 best hospitals in the U.S. The institution most recently placed No. 7 among a select group of 20 Honor Roll hospitals and ranked nationally in a dozen specialties. In addition, Cedars Sinai ranked No. 3 in California and No. 2 in the Los Angeles metro area.
Within Cedars Sinai, the Institute for Research on Health Aging conducts multi-disciplinary research that prioritizes the prevention of cardiovascular disease, neurocognitive disease, and cancer. Our focus is on translating new research discoveries into pragmatic interventions aimed at promoting healthy aging across diverse populations. Our approach involves human physiology, cohort, and clinical trial studies and our team includes established experts in population, clinical, translational, basic, and data science.