Description:

　　Inpatient: 8:30-5PM M-F, rotating weekends (could be every other weekend, just dependent on staffing needs) They are making discharge plans, helping with the care plan with the doctors, less busy than ED. - Plans, develops, assesses & evaluates care provided to members. - Collaborates with physicians, other members of the multidisciplinary health care team & patient/family in the development, implementation & documentation of appropriate, individualized plans of care to ensure continuity, quality & appropriate resource use. - Recommends alternative levels of care & ensures compliance with federal, state & local requirements. - Assesses high risk patients in need of post-hospital care planning. - Develops & coordinates the implementation of a discharge plan to meet patient's identified needs. - Communicates the plan to physicians, patient, family/caregivers, staff & appropriate community agencies. - Reviews, monitors, evaluates & coordinates the patient's hospital stay to assure that all appropriate & essential services are delivered timely & efficiently. - Participates in the Bed Huddles & carries out recommendations congruent with the patient's needs. - Coordinates the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, & 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 & non-KFH facilities. - Acts as a liaison between in-patient facility & referral facilities/agencies & provides case management to patients referred. - Refers patients to community resources to meet post hospital needs. - Coordinates transfer of patients to appropriate facilities; maintains & provides required documentation. - Adheres to internal & external regulatory & accreditation requirements & compliance guidelines including but not limited to: TJC, DHS, HCFA, CMS, DMHC, NCQA & DOL. - Educates members of the healthcare team concerning their roles & responsibilities in the discharge planning process & appropriate use of resources. - Provides patients with education to assist with their discharge & help them cope with psychological problems related to acute & 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 & identifies utilization patterns & trends, problems or inappropriate utilization of resources & participates in the collection & analysis of data for special studies, projects, planning, or for routine utilization monitoring activities. - Coordinates, participates & or facilitates care planning rounds & patient family conferences as needed. - Participates in committees, teams or other work projects/duties as assigned.

　　Skills:

　　Case management, Acute care, discharge planning

　　Top Skills Details:

　　Case management,Acute care,discharge planning

　　Additional Skills & Qualifications:

　　1 full year of acute case management experience needed recently RN license required BLS from American Health Association required

　　Experience Level:

　　Intermediate Level

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　　Actalent connects passion with purpose. We help visionary companies advance their engineering and science initiatives through access to specialized experts that drive scale, innovation, and speed to market. With a network of almost 30,000 engineering and sciences consultants and more than 4,500 clients across the U.S., Canada, Asia, and Europe, Actalent serves many of the Fortune 500. An operating company of Allegis Group, the global leader in talent solutions, Actalent launched as a new specialized engineering and sciences services and workforce solutions brand in 2021.