RN Care Coordinator - Inpatient Specialty Program - 8-Hour Days - $5,000 Hiring Incentive

• Meets with patients within 24 hours of admission and conducts an initial assessment.
• Consults with assigned hospitalist each day during morning rounds regarding disposition planning and appropriateness for each day of patient's stay.
• Reviews with hospitalist the patient's admission and continued stay for medical necessity, appropriateness of care and level of care. Use Milliman and InterQual guidelines as necessary.
• Plans for discharges and care assessments.
• Submits necessary clinical information to the health plan using the accepted format and coordinate health plan communication with assigned hospitalist as appropriate.
• Coordinates with Nurse Practitioners and ISP Hospitalists assigned to the SNF's for continued review and follow up.
• Communicates transition of care to the member or responsible party including: i) Transition process and what to expect ii) Changes in health status and the care plan iii) Staff who will be handling issues, questions, concerns, i.e. Care Coordinator.
• Authorizes all appropriate services based upon covered benefits and necessity of care provided in the: a) Member's home or residence b) Acute Care c) Skilled Nursing Facility d) Rehabilitation Facility e) Home Health Care f) Custodial Care facility or Board and Care Facility.
• Coordinates discharge planning and alternative treatment plans with PCP/hospitalist/specialist as appropriate.
• Secures outpatient follow-up appointments and scheduling tests or outpatient procedures with appropriate health care providers.
• Refers to Ambulatory Case Mangers for those patients identified that need oversight of outpatient care and compliance to avoid unnecessary readmissions.
• Coordinates referrals and secures appointments with various CSMNS disease management programs.

• Graduation from an accredited school of nursing required
• Bachelor of Science in Nursing degree preferred

• Valid CA RN license required
• Certified Case Management RN preferred

• 3 years of acute nursing experience required
• 1 year of previous experience in case management in the acute inpatient or outpatient settings preferred

Cedars-Sinai