RN / Case Management Job in San Jose, California / Hospital
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Description
Standard Qualifications: About Good Samaritan Hospital Good Samaritan Hospital is a 474 bed acute care hospital in the heart of Silicon Valley, with two locations, the main campus in San Jose, California and the Mission Oaks campus in Los Gatos, California. Recognized nationally for quality and safety, it has an 'A' from The Leapfrog Group and has been voted a "Family Favorite" hospital for more than ten years. It is one of only ten hospitals nationwide to be awarded the Outstanding Achievement Award from the American College of Surgeons Commission on Cancer four consecutive times. Good Samaritan is a leader in neurosciences, high-risk obstetrics, advanced cardiology and innovative surgery techniques, and is a Joint Commission-certified Comprehensive Stroke Center and an accredited Chest Pain Center. The Case Management teams are dedicated, healthcare providers with excellent services for patients at Good Samaritan Hospital. Interested in joining this team? Apply online now. Schedule: 1.0 (40 hours per week) Shift: Days with rotating weekends POSITION SUMMARY: The Case Manager is responsible for utilization review and discharge planning for assigned patient population. She/he manages and coordinates the resources necessary and appropriate for the achievement of maximal clinical and financial patient outcomes. She/he provides direct service to patients and their families for emotional support, education, and information regarding community resources and discharge planning. POSITION DUTIES AND RESPONSIBILITIES: Utilization Review Reviews all patients for severity of illness and intensity of service using InterQual IS/SI criteria Conducts concurrent stay review to ensure patient continues to meet criteria Initiates referrals to Physician Advisor on questions of appropriate admissions, continued stay, and quality of care. Discusses cases with PA's and contacts attending physician with result of the review Works closely with attending physicians to insure appropriate documentation Provide concurrent review to third party payers Discharge Planning Assesses and evaluates the patient's functional status and appropriate level of care needed after discharge Interview patients and families to formulate and implement a discharge plan Maintains a current referral network and knowledge base of community resources and services Makes appropriate contacts and referrals to meet patient needs Coordinates all transfer to other facilities Documents through the Meditech system all discharge planning activities Maintains and cultivates good working relationship with physicians regarding patient's discharge/level of care needs Provides additional duties as assigned
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