Case Management Social Services
8 Hour Shift
Rancho Mirage, CA 92270
Job Objective: A brief overview of the position.
The Clinical Educator’s role is multi-faceted, it provides on-unit and department-specific education, informal and formal education to staff, including Joint Commission education and assists Clinical Directors and Clinical Managers in ensuring staff competency, ongoing skills assessment, and opportunities fro growth.
Director, Case Management
Ages of Patients
Blood Borne Pathogens
Required: BSN or MSN if hired after July 1, 2012
Required: CA RN License
Required: Minimum five years Case Management experience
Preferred: Minimum one year in an education role
Demonstrates compliance with Code of Conduct and compliance policies and takes action to resolve compliance questions or concerns and report suspected violations.
Performs all functions of a Case Management Registered Nurse.
Demonstrates implementation skills in accordance with EMC Standards of Care, policies, procedures, and Nurse Practice Act.
Initiates discussions, develops plans, and executes cost containment ideas with team in order to comply with departmental plan to meet budget goals.
Demonstrates knowledge of Case Management performance improvement and patient safety goals.
Takes call and can respond for all Case Management issues.
Demonstrates the ability to teach effectively and uses dynamic and unique approaches to engage their target audience.
Develops, monitors, and evaluates indicators specific to Case Management and service lines.
Coordinates courses that promote staff development with current evidence based information.
Coordinates teaching of new procedure/regulations by In-Service.
Utilizes feedback from physicians, directors, managers, nursing staff, patients/families, and regulatory agencies to develop education plans for areas assigned.
Maintains knowledge in Conditions of Participation, State Regulation, and Joint Commission requirements to ensure staff compliance; educates staff in these areas.
Maintains involvement in recruitment and retention of nursing staff. Facilitates programs based on hospital needs in relation to recruitment.
Develops and implements a plan to maintain own clinical competency.
Assists with monitoring and education within the clinical specialty to ensure quality care and quality outcomes are met in a cost-effective manner.
Coaches and educates staff regarding clinical questions.
Coordinates medical record audit scheduling, medical records and ancillary departments when necessary.
Reports any charging issues that do not conform to current Federal Regulations governing billable/non-billable charges.
Attends available seminars pertaining to compliance issues and guidelines, Medical and Billable Coding and Medical Record Charting.
Provides positive indication that teamwork is a major and important focus of all Eisenhower Medical Center employees.
Conducts periodic in-service classes for ancillary departments instructing the staff on charge/chart review.
Conducts periodic in-service classes for the staff on issues identified through chart audits.
Prepares reports on monthly basis showing:
Total Patient/defense and concurrent audits for month with defense results, and final determination.
Summary of deficiencies found in medical record charts to include the following: InterQual, Quality, denials, and avoidable days.