Registered Nurse (RN or LVN) / Case Manager - Sante Health
Fresno, CA
About the Job
Sante Health System is looking for organized, personable Registered Nurses (RNs or LVNs) in the Fresno, CA area to apply to be a full-time Case Manager. This nursing/case management role is responsible for coordinating medical management functions. If you are ready to bring your skills to a healthcare organization that will value you, keep reading!
Our Registered Nurse (RN/LVN) / Case Manager enjoys competitive compensation, generous benefits, and a great work environment. If you are ready to build a satisfying career with an established and respected healthcare organization in the Central Valley, apply today with our initial 3-minute, mobile-friendly application!
QUALIFICATIONS
- Graduate of an accredited school of nursing
- At least 1 year of professional nursing experience in a clinic or hospital (5 years of case management experience preferred)
- Possess a State Registered RN or LVN license
- CPR certification is preferred.
A DAY IN THE LIFE OF A REGISTERED NURSE (RN/LVN) / CASE MANAGER
At our healthcare organization, you manage cases involving severe illness or injuries requiring unique treatments. With excellent organizational skills, you coordinate all services provided to our patients as well as the proper implementation of these services. This allows you to ensure the quality as well as the appropriateness of care. You assess physical and psychosocial patient and family needs necessary for case management. You provide assistance and education to staff and physicians in resolving questions or problems involving patient treatment plans, medical staff relations, interpersonal conflicts, and patient care providers. By participating in multidisciplinary plan of care meetings as necessary, you are able to regularly review and update our patients' care plans to fit their needs and identify outcomes and barriers.
You perform inpatient reviews over the phone daily. Working closely with the senior products to deliver quality skilled nursing care at contracted facilities, you monitor patients' rehabilitation progress enabling them to return to their prior living arrangements. You also assist in developing an appropriate hospital discharge plan and authorizing home health, skilled nursing facilities, sub-acute facilities, rehabilitation centers, and durable medical equipment needs for the patient upon discharge. Once patients are discharged, you continue your case management responsibilities by following up with home phone calls and calls to physicians who are facilitating outpatient care.
You perform utilization management based on applicable patient care protocols, length of stay, and physician documentation using InterQual guidelines. You work directly with insurance companies regarding verification of benefits and eligibility. With great attention to detail and always maintaining confidentiality, you generate statistical reports and case summaries. Your ability to expertly juggle case management, quality management, utilization management, disease management, and risk management is essential to your success as a Registered Nurse (RN) / Case Manager. It is rewarding to know you play a vital role in providing our patients with the best care possible.
ABOUT SANTE HEALTH SYSTEM
Sante Health System is a Management Services Organization that serves multiple clients. "Sante" is the French word for health. Our name symbolizes our commitment to good health, progressive care, and leadership in our community.
Sante is one of the largest healthcare claims and billing management companies in Central California. The strength of Sante is the extraordinary network of physicians, health plans, and other health service providers it offers the people of our valley. Sante coordinates with physicians, health plans, hospitals, and ancillary providers to ultimately benefit the patient in a managed care environment. Sante Health System provides numerous client services such as billing, claims processing, contracting, credentialing, finance, human resources, information services, marketing/communications, physician services, practice management, provider relations, quality improvement, and utilization management.
Sante is celebrating over 25 years in service to the community. We deeply understand that we would not be successful in enhancing the quality of life of our patients without our incredible team. This is why we have created a work culture that is comprised of talented, driven, dedicated, innovative, and service-driven professionals. We provide competitive pay, excellent benefits including medical, dental, vision, and life insurance, 401k retirement plan, paid time off, and opportunities for advancement. Being part of our team is like being part of a big family. Join our team and make Sante Health System your home away from home.
Do you have exceptional verbal and written communication skills? Are you compassionate and able to easily build relationships? Are you a team player? Do you have excellent organizational skills? If so, we want to meet you! Apply today to join our healthcare organization as a Registered Nurse (RN) / Case Manager!
Location: 93711