RN, Care Manager (Emergency Dept), Full Time, Night Shift-12 Hr, Care Management

Adventist Health is more than an award-winning health system. We provide whole-person care to our communities and champion the greater good - from the operating room to the boardroom, we are driven by our unique passion to live God's love through health, wholeness and hope. From Oregon to Oahu, we have a calling to always do more. Now is your chance to apply your passion to our mission.

Since our founding in 1905 as the Glendale Sanitarium, countless patients have entrusted our physicians, nurses and associates with their healthcare needs. Today, we are the largest medical center serving the San Fernando Valley. As we continue to grow and evolve to better meet the needs of the communities we serve, we know that exceptional healthcare is more than medicine. It's about how we choose to care for our patients and each other - taking time to listen, to understand, to answer questions, to hold a hand, even to pray. This is who we are, who we have always been - it is what we do best. 

In the 2019-20 Regional Rankings List by U.S. News & World Report, Adventist Health Glendale (AHGL) ranked #17 in California and #10 in the LA Metro Area. Adventist Health Glendale also received its 11th consecutive A grade from patient safety organization The Leapfrog Group, the only hospital in Glendale or Burbank to receive the top grade. 

We're looking for someone to join our team as a RN, Care Manager (Emergency Dept) who:

• Establishes, coordinates, and maintains the process to increase patient through-put to the most appropriate level of care while facilitating interdisciplinary care across the continuum for the Emergency Department (ED). Collaborates with the patient/family, multidisciplinary team, physicians, community resources and payers to ensure the patient's progress and level of care is appropriately determined for the emergency episode of care and for the inpatient encounter to ensure that care is performed and facilitated in an efficient and cost-effective manner. Uses well developed knowledge and skills in patient status determination (InterQual Criteria), in the assessment and care management of patients and families within the ED, inpatient and outpatient settings. Practices patient/family assessment and management, resource management, identifying patients appropriate for inpatient admission, observation, or outpatient status, care facilitation, discharge planning with referral to all levels of care, and other related duties specific to the defined patient population. Collaborates with other case managers, social work staff, the access center, admissions, and other physician and administrative leadership staff within the ED, the care management department and both the inpatient and outpatient settings. Uses knowledge of pathophysiology, pharmacology, and clinical care processes to participate with other clinical staff and physicians in the development of clinical practice guidelines and physician order sets for the purpose of improving quality of care, changing practice, and reducing costs.

   

  Essential Functions:

   

  • Acts as a resource to ED staff and physicians regarding appropriateness of admission, levels of care (including related documentation requirements and observation vs. inpatient requirements), quality of care concerns and criteria/guidelines/protocols utilized in care planning and resource utilization.
  • Gathers sufficient information from and communicates with all relevant sources to facilitate appropriate discharge from ED to appropriate level of care to assure it is done in an accurate, safe, timely and cost-effective manner to prevent readmission and/or frequent visits to ED.
  • Assists in triaging calls from other acute care facilities requesting patient transfers to EMC; determines transfer appropriateness by reviewing requested documentation and InterQual level of care criteria and discussions as necessary with admitting physician, supervisors and/or EMC administrators and/or other EMC personnel.
  • Assesses ED patients and identifies options other than acute hospital admission when appropriate. Screens and refers to acute rehabilitation, long-term acute care hospitals, and nursing homes for admission directly from the ED; screens and refers patients to clinics after initial exam; and screens and refers patients for whom treatments could be safely rendered at home with services (e.g., IV antibiotics, low molecular weight heparin injections, wound care, etc.).
  • Organizes, integrates, and evaluates the effectiveness of the plan of care and progress toward achievement of desired outcomes. Modifies plan of care as patient/family needs change to accomplish goals established in the plan of care. Communicates plan of care, including changes and issues related to plan of care to patient/family, physicians, and other members of the healthcare team.
  • Performs other job-related duties as assigned.

   

You'll be successful with the following qualifications:

Education:

• Bachelor's Degree in Nursing (BSN): Preferred
• Master's Degree in nursing or health care related field: Preferred

Work Experience:

• Experience in case management, utilization management, and/or transitional care: Preferred

Required Licenses/Certifications:

• Registered Nurse (RN) licensed in the state of California and in good standing with the Board of Nursing: Required

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.

The estimated base pay for this position is $53.61 to $80.34. Additional individual compensation may be available for this role through years of experience, differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information.