Registered Nurse (RN) - Care Manager, Utilization Management - FT/Nights
Company: MemorialCare Health System
Location: Fountain Valley
Posted on: May 3, 2021
Purpose Statement / Position Summary
This position requires the full understanding and active
participation in fulfilling the mission of Orange Coast Medical
Center. It is expected that the employee demonstrate behavior
consistent with our core values: Integrity, Accountability, Best
Practices, Compassion and Synergy. The employee shall support
Orange Coast Medical Center's strategic plan and participate in and
advocate performance improvement/patient safety activities.
The Registered Nurse Case Manager collaborates with other
professional disciplines/unit leaders to ensure safe and effective
patient care delivery and the achievement of desired patient
outcomes. S/he is responsible for facilitation of appropriate
length of stay and continuum of care outcomes, through the case
management of all systems and services required for an organized,
multidisciplinary team approach to care. The RN Case Manager
coordinates patient's care from hospitalization, discharge in
collaboration with the healthcare team, to best meet the patients'
physical, emotional, and spiritual needs. The RN Case Manager uses
a problem-solving process that includes assessment, problem
identification, goal definition, plan development, evaluation,
reassessment, and plan revision, and documentation in the patient
record to achieve optimum patient outcomes on both an individual
and population basis. The success of the department is inherent in
the individual's ability to demonstrate positive, professional
communication for quality outcomes and financial targets.
Essential Functions and Responsibilities of the Job
Utilizes the UM plan, nursing process and practice standards as
a framework for the case management of patient care.
Demonstrates leadership in the coordination of patient care
across the healthcare continuum with progress toward meeting
desired patient outcomes.
Demonstrates the ability to utilize effective critical thinking
Prioritizes essential functions.
Demonstrates the ability to teach, guide and consult with
healthcare team members to maintain and improve patient care
Demonstrates knowledge of the clinical information system and
applies principles to patient documentation.
Contributes to an effective and safe working environment.
Serves as a role model and mentors new staff members.
Demonstrates knowledge and understanding of patient privacy
rights. Maintains confidentiality of all medical, financial and
other sensitive material in printed, electronic or verbal form
Demonstrates excellent customer service skills by managing and
acknowledging patient-family-significant other expectations.
Demonstrates tact, sensitivity and discretion.
Demonstrates the ability to integrate knowledge of job specific
Ability to be at work and be on time.
Ability to follow company policies, procedures and
Ability to interact in a positive and constructive manner.
- Ability to prioritize and multitask.
- Three (3) to five (5) years Acute Care experience in clinical
areas and specifically in area of specialization with knowledge of
utilization review, discharge planning activities, government and
managed care regulations, quality improvement principles and risk
- Computer, internet, order entry and word processing experience
- Current California RN License required
- Bachelor's Degree in Nursing or higher preferred
- Current American Heart Association Basic Cardiac Life Support
- Case Management Certification preferred
- Specialty Certification preferred (Required for RN-Certified,
Keywords: MemorialCare Health System, Fountain Valley , Registered Nurse (RN) - Care Manager, Utilization Management - FT/Nights, Other , Fountain Valley, California
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