Summary:
Reporting to the Director of HROB and NICU Team. The NICU/Pediatric/or High Risk OB Nurse is directly responsible for the assessment, treatment planning, intervention, monitoring and coordination of inpatient NICU and Pediatric cases or High Risk OB outpatient case. The position is responsible for maximizing quality while effectively utilizing appropriate resources within the members' benefit plans and established contracts.
The Case Manager is responsible, along with other members of Medical Management Team, for contributing to the clinical, quality, financial and patient satisfaction outcomes of the company.
Essential Duties and Responsibilities include the following:
- Identifies and develops policies and procedures as it relates to the HROB/NICU programs
- Assists in overseeing compliance and consistency of the program that meets RMG and regulatory standards.
- Acts as resource for all clinical staff.
- Develops, monitors, and analyzes reports and identifies trends to improve the program outcomes.
- Participates in developing and coordinating strategies across the continuum of care for ensuring the delivery of care in the most cost effective setting.
- Provides daily reviews and updates to the Team on all NICU /Pediatric cases which includes level of care status and discharge plans.
- Works collaboratively with the entire Medical Management team to ensure compliance with regulatory and health plan requirements.
- Develop working relationships with hospital case management departments to facilitate timely reviews.
- Ensures “triage” of patients to the appropriate level of care and facility.
- Works closely with other departments (claims, finance, high risk, TOC) as
- Anticipates customer needs: Understand the wants and needs of customers, listen for cues and respond to the level of intervention needed.
- Formulates an outcome-based plan or care, based on assessed patient needs, implements and evaluates plan as evidenced by
- Greets patients, family members, and physicians in a positive manner by introducing self, speaking clearly and with
- Assists others and supports the team.
Education and/or Experience:
- RN or LVN
- Current California Licenses and car insurance required.
- Previous Case management experience preferred..
- Ability to work with all levels of management.
- Excellent communications skills both verbally and written.
- NICU / PEDS experience
The pay range for this position at commencement of employment is expected to be between $45 - $50 per hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.
Full Application:
https://recruiting.adp.com/srccar/public/nghome.guid?c=1173215&d=RegalMedicalLakesideCommunityADOCSurgeryCenter&prc=RMPOD3&r=5001049007006
Job Type: Full-time
Pay: $48.00 - $50.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
People with a criminal record are encouraged to apply
Experience:
- Case management: 1 year (Preferred)
- NICU/ PEDS: 1 year (Preferred)
Location:
Work Location: Remote