RN Case Manager-Quality-Per Diem
Location: Modesto, California
Description: SutterHealth is employing RN Case Manager-Quality-Per Diem right now, this job will be settled in California. More complete informations about this job opportunity please read the description below. Sutter Gould Medical Foundation is a not-for-profit health care organization dedicated to improving the health and well-being of people in the communities it serves. With 17 care centers ! in Modesto, Stockton and five other communities in the Central Valley, a full range of medical care is available at convenient locations. Physician services are provided by Gould Medical Group, Inc., serving Central Valley residents for more than 50 years.
The Case Manager has the responsibility to identify, plan, coordinate, implement, monitor and evaluate appropriate cost-effective health care services for patients of the Sutter Gould Medical Foundation in order to optimize patient function and well being. This position provides for optimal outcomes through collaboration with the client, the family, the physician and other members of the healthcare team.
Sutter Gould Medical Foundation (SGMF)is a non-profit, multi-specialty health care organization affiliated with Sutter Health. Based in Modesto, SGMF provides quality medical care, health education and research activities in a five-county area. SGMF's medical staff includes family practitioners, internis! ts and pediatricians, as well as a range of specialist physici! ans. Services include imaging, nuclear medicine, a health library, health education programs, occupational medicine, diabetes education, nutrition counseling, infertility counseling, and weight management.
Current valid California RN Licensure. BSN/PHN is preferred. National certification in Case Management preferred. Experience developing care plans. Experience working as a member of a multi-disciplinary team. 3 years experience with case management, knowledge of health-related information, education, resource and referral services or 5 years general clinical experience. Must have a working knowledge of current treatments and their physical and psychosocial sequelae. Knowledge of individual and family development over the life span. Knowledge of the influence of cultural and spiritual values on health care. Basic knowledge of applicable laws and regulations, accreditation guidelines, e.g. CMS (HCFA) IMQ, EMTALA is required. Basic knowledge of government and privat! e insurance benefits, e.g. Medi-cal, Medicare, DRGs, and managed care-including reimbursement requirements. General knowledge of available health care and community resources appropriate for populations served. Knowledge of geriatrics including common health & functional changes in the aged, and various chronic disease processes. Must have the abilities to work independently with minimum of direction, to anticipate and organize work flow, to prioritize and follow through on responsibilities. Must have excellent verbal and written communication, interpersonal, problem-solving, conflict resolution, presentation, time management, positive personal influence and negotiation skills. Ability to work respectfully and creatively with clients of diverse functional abilities, social, economic, and cultural backgrounds to support both client autonomy and client safety. Demonstrated skills in motivating, mentoring, coaching and redirecting clients in order to achieve compliance with va! rious necessary medical, social and functional interventions. Leadershi! p skills to delegate, provide direction/guidance to staff and hold others accountable. Must have strong clinical assessment and critical thinking skills necessary to develop a comprehensive plan of care appropriate to patients with complex medical, emotional and social needs. Strong attention to detail and accuracy is required. Ability to work in a high volume case load environment and deal effectively with rapidly changing priorities. The demonstrated ability to work constructively with a broad spectrum of health care professionals. Basic computer skills are required. Must be effective both as a team member and leader.
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This job will be opened on: Sat, 15 Jun 2013 00:09:24 GMT
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