Description du poste
VA Greater Los Angeles Healthcare System (VAGLAHS) is seeking to hire an experienced Registered Nurse to work in our Case Management Service. Incumbent is expected to function independently, collaboratively, showing leadership and communicating effectively, coordinating care for complex/high risk patients, for a seamless, efficient and safe discharge.
PRINCIPALES MISSIONS :
The Case Management (CM) Registered Nurse (RN) will provide and supervise direct patient care, applying all elements of the nursing process to ensure high-quality outcomes. Responsibilities include assessing, planning, implementing, and evaluating care tailored to age-specific needs, while coordinating services with a strong emphasis on patient education, self-management, and satisfaction. The CM-RN will adhere to established policies, procedures, and clinical guidelines, collaborating closely with interdisciplinary team members to achieve optimal patient outcomes. This role requires demonstrating leadership, innovative problem-solving, and expertise in managing complex cases, as well as maintaining accurate documentation and upholding quality and safety standards throughout the continuum of care. Job duties include, but are not limited to, the following: Conducts comprehensive patient assessments. Conducts comprehensive risk assessments to identify high-risk Veterans and collaborates with the care team to create personalized care plans that mitigate harm. Coordinates complex care. Facilitates communication and coordination of care among members of the interprofessional health care team. Leads and attends interdisciplinary meetings/rounds. Applies specialized skills, knowledge, and competencies throughout the case management process. Identifies barriers to care and client's engagement in own health. Initiates discharge planning upon admission. Applies InterQual Criteria and/or DRG and discusses with the interdisciplinary team. Initiates patient care conferences. Educates the patient, the family or family caregiver, and members of the interprofessional health care team. Coordinates and ensures appropriate resources are in place prior to discharge. Implements care interventions. Provides referrals to various service resources along a continuum of care. Monitors and evaluates the individualized plan of care. Facilitates the primary care provider assignment for patients with no primary care provider. Ensures post-operative and follow-up care is arranged and documented prior to discharge. Engages in performance improvement activities. Utilizes computer programs effectively, i.e. Microsoft Word, PowerPoint, Excel. Adheres to the Standard Operating Procedure for Inpatient Case Management and relevant policies, procedures, directives. Preferred Experience: Bachelor of Science in Nursing (BSN) and/or Master of Science in Nursing (MSN) At least 5 years of recent, successful Registered Nursing practice 1-2 years of Case Management/Care Coordination experience Evidence of self-direction or organizational skills Evidence of effectively educating patients and patient families Demonstrated evidence of written, verbal, and communication skills Demonstrated evidence of good interpersonal skills Demonstrated ability to prioritize and coordinate multiple activities and to function in an independent manner Demonstrated critical thinking abilities VA offers a comprehensive total rewards package: VA Nurse Total Rewards Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Intermittent; Minimum 8-12hrs a pay period; Shifts will be assigned on an "as needed" basis and could include the following tours: 6:30am - 3:00pm with rotation from 8:30am - 5:00pm (May be required to work after hours, weekends, holidays) Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Duty Location: 11301 Wilshire Blvd, Los Angeles, CA 90073
QUALIFICATIONS R