Home Health Weekend Admission Nurse (RN) - Start of Care

apartment 21st Century Home Health Services location_onSan Rafael, CA

At 21st Century Home Health Services (21HHS) , we treat every patient with the same empathy, compassion, and understanding we would show our own family. With more than 600 employees, we are the largest home health agency in San Francisco and the fastest-growing in the Bay Area. Today, we care for more than 4,000 patients across San Francisco, San Mateo, Santa Clara, Santa Cruz, Alameda, Contra Costa, Solano, Napa, Yolo, Placer, El Dorado, and Sacramento counties—and we are actively expanding into Marin and Sonoma counties. Our clinicians are dedicated not only to the patients they serve, but also to one another. The results speak for themselves: hospital readmission rates at 21HHS consistently remain under 10%, compared to an industry average of over 15%. We’ve also set a new benchmark for employee satisfaction in home health. Recognized as a 2024 Top Workplace, 21HHS fosters an environment of support, growth, and recognition through open communication and professional development opportunities. Key achievements include: San Francisco Chronicle Top Workplaces in the Bay Area : Ranked 3rd among all medium-sized companies and 1st among home health agencies. National Recognition : Ranked 12th among medium-sized healthcare companies nationwide and 1st among home health agencies. Patient and employee feedback on Yelp, Google, Glassdoor, and Indeed further validates our commitment to quality care and workplace excellence. By prioritizing engagement and satisfaction, 21HHS attracts top clinical talent and delivers outstanding outcomes, cementing our place as a leader in home health. Please note: All opportunities at 21HHS require being in the field visiting patients in their homes. Part time Weekend Admission Registered Nurse (RN) Anticipated Territory :Marin County Schedule: Every Saturday and Sunday Full Days. Would consider Every Saturday and Sunday plus 3 week days. What you’ll do: Utilize your outstanding clinical skills as you complete the initial assessment of patients to determine home care needs including: \n Conduct Start of Care (SOC) Admissions - OASIS Conduct follow ups, evaluation visits as needed in designated territory Make home visits to patients in designated territory Perform assigned duties, including reconciliation of medication, wound care, treatments, and procedures Monitor clients’ conditions, reporting changes to Clinical team Collaborate with physicians and agency staff to deliver the best care possible Initiate and Administer IV medication (antibiotics and Diuretics) infusions safely and effectively in accordance with established protocols. Accurately document observations, interventions, and evaluations pertaining to patient care management and services provided. Why you Should Come Work for us: Concierge for RNs: Dedicated resources assist with time consuming administrative tasks such as charting and follow up calls. Flexible work schedules: Create your own schedule and hours Targeted territories. Autonomy: No clocking in/out Opportunity for advancement. We have multiple tiers for RNs including Admission Nurses, RNI, RNII, RNII as well as clinical leadership and support opportunities. Low turnover/High morale Helpful software and communication tools Mileage/Vehicle Reimbursement Company issued Ipad Outstanding benefits for you and your family including 401k with matching. Generous PTO, Medical, Dental, Life Insurance, etc Competitive compensation To be a success: Current and unrestricted CA RN license Current BLS/CPR Certification Valid CA Driver's License Experience conducting assessments and Start of Care (SOC) - OASIS is highly desired High level of clinical knowledge in home health care is highly preferred Experience with high acuity patients is a plus Experience working with an interdisciplinary team is highly desired Case Management fundamentals is highly desired Previous experience with IV Medication infusions highly preferred Proficiencies initiating intravenous (IV) therapy is a plus Self-Directed Empathetic Critical thinker Outstanding interpersonal skills Leadership skills Organized \n 21st Century is an equal opportunity employer, committed to fostering a diverse and inclusive workplace. We strictly prohibit discrimination or harassment of any kind, including but not limited to race, color, sex, religion, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, or any other characteristic protected under federal, state, or local law.

RN

Per Diem

Registered Nurse (RN) - Cardiology Specialty, Cardiovascular Medicine, (Larkspur), Per Diem, Days

apartment MarinHealth location_onLarkspur, CA

ABOUT MARINHEALTH Are you looking for a place where you are empowered to bring innovation to reality? Join MarinHealth, an integrated, independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team, an affiliation with UCSF Health, an ever-expanding network of clinics, and a new state-of-the-art hospital, MarinHealth is growing quickly. MarinHealth comprises MarinHealth Medical Center, a 327-bed hospital in Greenbrae, and 55 primary care and specialty clinics in Marin, Sonoma, and Napa Counties. We attract healthcare’s most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospital's personalized, caring touch. MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others. Company: Prima Medical Foundation dba MarinHealth Medical Network Work Shift: 8 Hour (days) (United States of America) Scheduled Weekly Hours: 0 Job Description Summary: The Nurse (RN) – Cardiology collaborates in a team environment to coordinate patient care in the Cardiology environment. The Nurse (RN) – Cardiology supports the Cardiology Clinic and Cardiac Testing services. This includes nursing assessment, problem identification, planning, reporting of complex clinical data to the appropriate Cardiologist and implementation of the patient’s plan of care. Job Requirements, Prerequisites and Essential Functions: Pay Range: $62.78 - $78.47 - $94.16 Essential Functions and Responsibilities: Individual Triages patients’ physical symptoms/arrhythmias appropriately and consults with cardiologists per protocol. Coordinates patient care for Testing Services which includes bubble studies and/or definity. May perform cardiac stress test(s) as needed and / or coordinate care with the Exercise Physiologist as needed. Works with assigned Cardiologist(s) to manage in-basket, assess for symptoms and provide appropriate patient follow-up. Provides pre, post-op education for Cardiology procedures. Educates patients about their cardiovascular condition and explains treatment options as directed by the cardiologist. Teaches patients what they can do to prevent the worsening of cardiovascular conditions, the importance of self-monitoring and provide appropriate resources. Participates in Transition of Care Management to ensure discharge medications and instructions are understood by patient and/or family members. Updates medication and problem list in the Electronic Health Record and ensures follow-up with cardiologists. Reviews daily lab/test results, physician tasks and clinical worklist(s) as assigned. Assist the Nurse Supervisor and/or Director on matters relating to nursing practices and participates in development of policies and protocols for patient care. Initiates and maintains personal professional development as required for continuing education. Maintains patient confidentiality per HIPPA. Other duties as assigned. Team Responds to emergencies and supports Team in acute situations. Assists in maintaining safety equipment / emergency cart within the clinic. Maintains and helps to ensure that all documentation is in a state of audit-readiness. Promotes ongoing communication and collaboration with the clinical manager, physicians, and appropriate staff to ensure patient safety and adherence to clinic protocols. Takes initiative to identify and provide solutions to work-related problems, continuously seeking ways to improve services. Occasionally covers for other staff as deemed necessary both inter and intra-departmentally. Updates Clinical Lead of changes affecting their schedule. Practice Professional representative within the clinic and the community Participates in clinic meetings as required Participates in special projects as assigned Other duties as assigned Participates in educational seminars provided within the clinic and in the community Demonstrates positive initiative and cooperation between departments Qualifications: Excellent written and oral modes of interpersonal communication Knowledge of nursing theory and nursing scope of practice Knowledge of common hazards and precautions to ensure patient safety Knowledge of medical terminology, anatomy, physiology, telemetry, and medications in particular related to cardiovascular medicine Knowledge of arrhythmias, cardiovascular disease processes and understanding medical therapies/ interventions and patient education resources related to cardiovascular disease states such as atherosclerosis, congestive heart failure, hyperlipidemia, hypertension, atrial and atrial/ventricular arrhythmias, valvular disease, pulmonary embolism Skill in applying and modifying the principles, methods and techniques of professional nursing to provide ongoing patient care in the outpatient setting Critical thinking skills to ensure appropriate nursing assessments, problem identification, planning, and implementation of solutions within the nursing scope of practice Skill in preparing/maintaining records, writing reports and responding to correspondence as necessary Skill in directing and overseeing patient care as assigned Ability to maintain quality control standards Ability to react calmly and effectively in emergency situations Qualifications: Education: Graduate of accredited school of nursing required. BSN degree preferred. License & Certifications: Current Registered Nurse, as defined by the California Board of Registered Nursing. BLS Certification and ACLS Certification (American Heart Association) required. Experience: Minimum of two-year cardiovascular clinic experience and/or hospital nursing experience. Two years’ experience in a critical care or cardiac inpatient unit preferred Two years’ experience with telemetry monitoring preferred Accommodation: Qualified applicants with disabilities may request reasonable accommodation during the application process by contacting Human Resources at 415-925-7040 or TalentAcquisition@mymarinhealth.org . C.A.R.E.S. Standards: MarinHealth seeks candidates ready to model our C.A.R.E.S. standards—Communication, Accountability, Respect, Excellence, Safety—which foster a healing, trust-based environment for patients and colleagues. Health & Immunizations: To protect employees, patients, and our community, MarinHealth requires measles, mumps, varicella, and annual influenza immunizations as a condition of employment (and annually thereafter). COVID-19 vaccination/booster remains strongly recommended. Medical or religious exemptions will be considered consistent with applicable law. Compensation: The posted pay range complies with applicable law and reflects what we reasonably expect to pay for this role. Individual pay is set by skills, experience, qualifications, and internal/market equity, consistent with MarinHealth’s compensation philosophy. Positions covered by collective bargaining agreements are governed by those agreements. Equal Employment: All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sexual orientation, gender identity, protected veteran status or disability status, and any other classifications protected by federal, state, and local laws.

RN

Full-time

RN Case Manager II, Care Coordination, Full-Time, Days

apartment MarinHealth location_onKentfield, CA

ABOUT MARINHEALTH Are you looking for a place where you are empowered to bring innovation to reality? Join MarinHealth, an integrated, independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team, an affiliation with UCSF Health, an ever-expanding network of clinics, and a new state-of-the-art hospital, MarinHealth is growing quickly. MarinHealth comprises MarinHealth Medical Center, a 327-bed hospital in Greenbrae, and 55 primary care and specialty clinics in Marin, Sonoma, and Napa Counties. We attract healthcare’s most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospital's personalized, caring touch. MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others. Company: Marin General Hospital dba MarinHealth Medical Center Compensation Range: $66.03 - $99.04 Work Shift: 8 Hour (days) (United States of America) Scheduled Weekly Hours: 40 Job Description Summary: The RN Case Manager, in collaboration with members of the healthcare team, leads the development and implementation of the interdisciplinary plan of care for patients, determining the appropriate level of care, supervising the provision of the discharge plan of care, and ensuring the effective quality and cost-efficient outcomes by performing concurrent and retrospective case review. This position functions as the key linkage between the physician, staff, and hospital leadership in the day-to-day management of appropriate and efficient patient care and functions as an advisor to the physician with accountability to escalate cases to the Medical Director (as necessary) to ensure the provision of appropriate and effective patient care. Job Requirements, Prerequisites and Essential Functions: Job Specifications: Education: Bachelor of Science degree in Nursing preferred. Experience: Three (3) or more years of experience in an acute patient care setting preferably in medical/surgical or critical care. Substantial recent experience in utilization review and/or discharge planning in an acute care setting is strongly preferred. Broad clinical background strongly preferred. Experience demonstrating effective functional supervision and leadership skills preferred. License and Certifications: Registered Nurse Required at hire Basic Life Support Required at hire Integrative Agitation Management (IAM) Required within 30 days of hire Prerequisite Skills: Must have the ability to read, write, and follow English verbal and written instructions, and have excellent oral and written communication, interpersonal, problem-solving, conflict resolution, presentation, time management, positive personal influence and negotiation skills. Leadership skills to delegate, functionally supervise, provide direction/guidance to staff and hold others accountable are required. Must have the ability to work independently with a minimum of direction, anticipate and organize work flow, prioritize and follow through on responsibilities. Must have strong clinical assessment and critical thinking skills necessary to provide utilization review/discharge planning services appropriate to patients with complex medical, emotional and social needs. Strong attention to detail and accuracy is required. Must have the ability to work in a high volume case load environment and deal effectively with rapidly changing priorities. Demonstrated ability to work constructively with a broad spectrum of health care professionals is required. Must be assertive and creative in problem solving, system planning and management. Basic computer skills are required including use of Electronic Health Record. Must be effective both as a team member and leader. Primary Customer Served (Age Specific Criteria): Infants: Birth up to 1 year Toddlers: 1 up to 3 years Preschool Children: 3 up to 6 years School Age Children: 6 up to 12 years Adolescents: 12 up to 18 years X Early Adults: 18 up to 45 years X Middle Adults: 45 up to 61 years X Late Adults: 61 up to 80 years X Late, Late Adults: 80 years and up Employees in this position must be able to demonstrate the knowledge and skills necessary to provide care and/or service based on the physical, psycho/social, educational, safety, and related criteria appropriate to the age of the patients served in his/her assigned service area. Patient Privacy (HIPAA Compliance): Employees in this position have access to protected health information. The protected health information a person in this position can access includes demographics, date of service, insurance/billing, medical record summary information, and all other information that may be contained in patient records. This position requires patient health information to perform the functions outlined as part of this position description. Duties And Responsibilities: Essential (Not Modifiable) Care Coordination Works with the healthcare team to ensure the plan of care is expedited and barriers to efficient throughput are identified and corrected. Creates a plan of care that outlines the key interventions and outcomes to be achieved each day of the inpatient stay. Actively leads multidisciplinary case conferences in developing comprehensive, cost- effective case management plans that span the continuum. Makes independent assessments and recommendations regarding course of action in complex situations and recommendations regarding, such as multi-system or special needs. Identifies and refers quality and risk management concerns to appropriate level for corrective action plans and trending. Proactively solicits physician’s orders for services. Utilization and Resource Management Identifies target Length of Stay (LOS) by assigning a working DRG in MIDAS within 24 hours of admission. Completes an admission review using standardized criteria within 24 hours of admission and documents review outcome. Escalates to the Medical Director when criteria is not met and attending physician disagrees with findings. Completes a continued-stay review according to policy to assure patient is at the appropriate level of care. Monitors the length of stay in comparison with MS-DRG/GMLOS for all patients. Completes concurrent review for specified health plans and includes medical necessity documentation to avoid payor denials. Ensures that the patient is transitioned to the next level of care as quickly as possible once the patient no longer meets clinical criteria for the current level of care. Works with physicians and CDI to ensure that clinical information available in the medical record is accurate and reflects the care rendered to the patient. Collaborates with physicians to determine appropriate levels of care for post hospital care, use of hospital resources, and available community resources. In a timely manner, communicates pertinent information to third-party payers and managed care organization to obtain authorization for care and prevent denials. Reviews, processes, and issues denials to client/responsible party following regulatory guidelines and facility protocols. Informs client/responsible party of right of appeal and the appeal process. Collects data for the appeals process. Identifies avoidable days, intervenes to correct delays, and enters outcomes in MIDAS in a timely manner according to policy and procedure. Uses personal judgment within broad guidelines to initiate review of inappropriate utilization by physicians and follows-through to resolution (e.g., attending, department chair, utilization management medical director). Discharge Planning/Initial Assessment/Development/Evaluation Completes an initial assessment within 24 hours of admission and documents findings in the electronic health record. Reviews initial hospital admission and gathers additional medical, psychosocial and financial data from needs assessment, client/family, physicians, and other health care providers. Determines risk level and identifies client’s service needs. Formulates a discharge plan after completing a face-to-face interview and discusses available/appropriate care options and obtaining input from the patient/family and physician, healthcare team, insurance companies, and community-based support services. Collaborates with physicians to facilitate timely resolution of situations such as client concerns or need for referrals to expedite the discharge plan. Identities potential problems, prevents and/or resolves variances to the case management plan. Effectively deals with resistance and conflict in working with member of the patient care team, physicians, clients, and families. Implements all aspects of the discharge plan of care, intervening in an appropriate and timely basis when difficulties arise. This may require documentation and follow-up with other management staff to ensure effective resolution. Mobilizes resources to effect rapid and timely movement of the patient through the system and promote timely discharge in keeping with quality indicators. Identifies and mobilizes patient’s and family’s strengths to optimize use of healthcare and community resources. In coordination with patient/family wishes, guides/assists in securing needed post discharge services, which may require negotiating for services covered but not readily available. Implements the discharge plan to include all the necessary referrals and authorizations as identified by federal, state, and local insurance regulatory agencies and offers patient choice per regulatory guidelines. Interfaces with Social Work on discharge planning issues for resolution and assures barriers are addressed in a timely manner. Department Operations and Development Actively participates in department meetings and operations, including process development or improvement (e.g., department orientation, internal mentor/training programs and initiates, disease and population management strategies, appropriate measures for evaluation of outcomes) and establishment of department goals, objectives, and budget. Ensures all applicable department and regulatory targets for productivity and department performance process improvement are attained (e.g., hospital length of stay, average cost per discharge, and re-admission rates, etc.). Complies with all reporting requirements for mandated, risk management, and other medical/legal situations consistent with confidentiality policies and department standards. Actively contributes to the development and maintenance of a care delivery system which is sensitive to individual patient needs, promotes effective resource utilization, and supports physician practice, while emphasizing coordination across the continuum. Positively contributes to team’s decision-making process, effectively collaborates with other team members on interdependent tasks, and actively supports implementation of plans to accomplish team objectives. Prepares and conducts presentations to multidisciplinary teams related to special projects, case management, etc. Adheres to department and facility policies and procedures and supports philosophies and initiatives. Maintains accurate, current, and legible patient records using approved forms and format, according to department and entity standards, including patient assessments, plans, interventions, patient/family involvement, outside agency communications, and interdisciplinary contacts. Secondary (Modifiable) Actively participates in ongoing department interviews for Case Managers and Department Assistants, effectively recommending selected applicants for hire. Recommends or provides necessary training to staff. Attends and participates in community-based committees and task forces, when applicable and staff is available. Other duties as assigned. Accommodation: Qualified applicants with disabilities may request reasonable accommodation during the application process by contacting Human Resources at 415-925-7040 or TalentAcquisition@mymarinhealth.org . C.A.R.E.S. Standards: MarinHealth seeks candidates ready to model our C.A.R.E.S. standards—Communication, Accountability, Respect, Excellence, Safety—which foster a healing, trust-based environment for patients and colleagues. Health & Immunizations: To protect employees, patients, and our community, MarinHealth requires measles, mumps, varicella, and annual influenza immunizations as a condition of employment (and annually thereafter). COVID-19 vaccination/booster remains strongly recommended. Medical or religious exemptions will be considered consistent with applicable law. Compensation: The posted pay range complies with applicable law and reflects what we reasonably expect to pay for this role. Individual pay is set by skills, experience, qualifications, and internal/market equity, consistent with MarinHealth’s compensation philosophy. Positions covered by collective bargaining agreements are governed by those agreements. Equal Employment: All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sexual orientation, gender identity, protected veteran status or disability status, and any other classifications protected by federal, state, and local laws.

RN

Full-time

RN Case Manager III/ Lead Case Manager

apartment MarinHealth location_onKentfield, CA

ABOUT MARINHEALTH Are you looking for a place where you are empowered to bring innovation to reality? Join MarinHealth, an integrated, independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team, an affiliation with UCSF Health, an ever-expanding network of clinics, and a new state-of-the-art hospital, MarinHealth is growing quickly. MarinHealth comprises MarinHealth Medical Center, a 327-bed hospital in Greenbrae, and 55 primary care and specialty clinics in Marin, Sonoma, and Napa Counties. We attract healthcare’s most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospital's personalized, caring touch. MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others. Company: Marin General Hospital dba MarinHealth Medical Center Compensation Range: $69.33 - $103.99 Work Shift: 8 Hour (days) (United States of America) Scheduled Weekly Hours: 40 Job Description Summary: The RN Case Manager, in collaboration with members of the healthcare team, leads the development and implementation of the interdisciplinary plan of care for patients, determining the appropriate level of care, supervising the provision of the discharge plan of care, and ensuring the effective quality and cost-efficient outcomes by performing concurrent and retrospective case review. This position functions as the key linkage between the physician, staff, and hospital leadership in the day-to-day management of appropriate and efficient patient care and functions as an advisor to the physician with accountability to escalate cases to the Medical Director (as necessary) to ensure the provision of appropriate and effective patient care. Job Requirements, Prerequisites and Essential Functions: Job Specifications: Education: Bachelor of Science degree in Nursing Required, CCM, ACM preferred Experience: 6-8 years or more experience as a case manager in an acute patient care setting in medical/surgical or critical care required Substantial recent experience in utilization review and/or discharge planning in an acute care setting is required. Broad clinical background and knowledge of payer reimbursement and InterQual review guidelines required Experience as a preceptor, resources and lead in previous role required CCM or AMC certification strongly preferred License and Certifications: Current California RN license BLS-HP certification required National certification in Case Management preferred Prerequisite Skills: Must have the ability to read, write, and follow English verbal and written instructions, and have excellent oral and written communication, interpersonal, problem-solving, conflict resolution, presentation, time management, positive personal influence and negotiation skills. Leadership skills to delegate, functionally supervise, provide direction/guidance to staff and hold others accountable are required. Must have the ability to work independently with a minimum of direction, anticipate and organize work flow, prioritize and follow through on responsibilities. Must have strong clinical assessment and critical thinking skills necessary to provide utilization review/discharge planning services appropriate to patients with complex medical, emotional and social needs. Strong attention to detail and accuracy is required. Must have the ability to work in a high volume case load environment and deal effectively with rapidly changing priorities. Demonstrated ability to work constructively with a broad spectrum of health care professionals is required. Must be assertive and creative in problem solving, system planning and management. Basic computer skills are required including use of Electronic Health Record. Must be effective both as a team member and leader. Knowledge General knowledge of supervisory principles/applications is required. Must have a working knowledge of current treatments and their physical and psychosocial sequelae. Knowledge of individual and family development over the life span is required. Knowledge of the influence of cultural and spiritual values on health care is required. Basic knowledge of applicable laws, regulations, and accreditation guidelines (e.g. CMS, DHS, Joint Commission, EMTALA) is required. Basic knowledge of government and private insurance benefits (e.g. Medi-Cal, Medicare, DRGs, and managed care), including reimbursement requirements is needed. Must know child, elder and dependent adult and domestic violence reporting requirements. General knowledge of available health care and community resources appropriate for populations served is required, broad/in-depth knowledge is preferred. A working knowledge of Inter-Qual criteria. Primary Customer Served (Age Specific Criteria): () Infants: Birth up to 1 year () Toddlers: 1 up to 3 years () Preschool Children: 3 up to 6 years () School Age Children: 6 up to 12 years () Adolescents: 12 up to 18 years (X) Early Adults: 18 up to 45 years (X) Middle Adults: 45 up to 61 years (X) Late Adults: 61 up to 80 years (X) Late, Late Adults: 80 years and up Employees in this position must be able to demonstrate the knowledge and skills necessary to provide care and/or service based on the physical, psycho/social, educational, safety, and related criteria appropriate to the age of the patients served in his/her assigned service area. Patient Privacy (HIPAA Compliance): Employees in this position have access to protected health information. The protected health information a person in this position can access includes demographics, date of service, insurance/billing, medical record summary information, and all other information that may be contained in patient records. This position requires patient health information to perform the functions outlined as part of this position description. Duties And Responsibilities: Essential (Not Modifiable) Care Facilitation and Coordination Works with the healthcare team to ensure the plan of care is expedited and barriers to efficient throughput are identified and corrected. Creates a plan of care that outlines the key interventions and outcomes to be achieved each day of the inpatient stay. Actively leads multidisciplinary case conferences in developing comprehensive, cost-effective case management plans that span the continuum. Makes independent assessments and recommendations regarding course of action in complex situations and recommendations regarding, such as multi-system or special needs. Identifies and refers quality and risk management concerns to appropriate level for corrective action plans and trending. Proactively solicits physician’s orders for services. Utilization and Resource Management Identifies target Length of Stay (LOS) by assigning a working DRG in MIDAS within 24 hours of admission. Completes an admission review using standardized criteria within 24 hours of admission and documents review outcome. Escalates to the Medical Director when criteria is not met and attending physician disagrees with findings. Completes a continued-stay review according to policy to assure patient is at the appropriate level of care. Monitors the length of stay in comparison with MS-DRG/GMLOS for all patients. Completes concurrent review for specified health plans and includes medical necessity documentation to avoid payor denials. Ensures that the patient is transitioned to the next level of care as quickly as possible once the patient no longer meets clinical criteria for the current level of care. Works with physicians and CDI to ensure that clinical information available in the medical record is accurate and reflects the care rendered to the patient. Collaborates with physicians to determine appropriate levels of care for post hospital care, use of hospital resources, and available community resources. In a timely manner, communicates pertinent information to third-party payers and managed care organization to obtain authorization for care and prevent denials. Reviews, processes, and issues denials to client/responsible party following regulatory guidelines and facility protocols. Informs client/responsible party of right of appeal and the appeal process. Collects data for the appeals process. Identifies avoidable days, intervenes to correct delays, and enters outcomes in MIDAS in a timely manner according to policy and procedure. Uses personal judgment within broad guidelines to initiate review of inappropriate utilization by physicians and follows-through to resolution (e.g., attending, department chair, utilization management medical director). Discharge Planning/Initial Assessment/Development/Evaluation Completes an initial assessment within 24 hours of admission and documents findings in the electronic health record. Reviews initial hospital admission and gathers additional medical, psychosocial and financial data from needs assessment, client/family, physicians, and other health care providers. Determines risk level and identifies client’s service needs. Formulates a discharge plan after completing a face-to-face interview and discusses available/appropriate care options and obtaining input from the patient/family and physician, healthcare team, insurance companies, and community-based support services. Collaborates with physicians to facilitate timely resolution of situations such as client concerns or need for referrals to expedite the discharge plan. Identities potential problems, prevents and/or resolves variances to the case management plan. Effectively deals with resistance and conflict in working with member of the patient care team, physicians, clients, and families. Implements all aspects of the discharge plan of care, intervening in an appropriate and timely basis when difficulties arise. This may require documentation and follow-up with other management staff to ensure effective resolution. Mobilizes resources to effect rapid and timely movement of the patient through the system and promote timely discharge in keeping with quality indicators. Identifies and mobilizes patient’s and family’s strengths to optimize use of healthcare and community resources. In coordination with patient/family wishes, guides/assists in securing needed post discharge services, which may require negotiating for services covered but not readily available. Implements the discharge plan to include all the necessary referrals and authorizations as identified by federal, state, and local insurance regulatory agencies and offers patient choice per regulatory guidelines. Interfaces with Social Work on discharge planning issues for resolution and assures barriers are addressed in a timely manner. Department Operations and Development Actively participates in department meetings and operations, including process development or improvement (e.g., department orientation, internal mentor/training programs and initiates, disease and population management strategies, appropriate measures for evaluation of outcomes) and establishment of department goals, objectives, and budget. Ensures all applicable department and regulatory targets for productivity and department performance process improvement are attained (e.g., hospital length of stay, average cost per discharge, and re-admission rates, etc.). Complies with all reporting requirements for mandated, risk management, and other medical/legal situations consistent with confidentiality policies and department standards. Actively contributes to the development and maintenance of a care delivery system which is sensitive to individual patient needs, promotes effective resource utilization, and supports physician practice, while emphasizing coordination across the continuum. Positively contributes to team’s decision-making process, effectively collaborates with other team members on interdependent tasks, and actively supports implementation of plans to accomplish team objectives. Prepares and conducts presentations to multidisciplinary teams related to special projects, case management, etc. Adheres to department and facility policies and procedures and supports philosophies and initiatives. Maintains accurate, current, and legible patient records using approved forms and format, according to department and entity standards, including patient assessments, plans, interventions, patient/family involvement, outside agency communications, and interdisciplinary contacts. Secondary (Modifiable) Actively participates in ongoing department interviews for Case Managers and Department Assistants, effectively recommending selected applicants for hire. Recommends or provides necessary training to staff. Attends and participates in community-based committees and task forces, when applicable and staff is available. Other duties as assigned. Accommodation: Qualified applicants with disabilities may request reasonable accommodation during the application process by contacting Human Resources at 415-925-7040 or TalentAcquisition@mymarinhealth.org . C.A.R.E.S. Standards: MarinHealth seeks candidates ready to model our C.A.R.E.S. standards—Communication, Accountability, Respect, Excellence, Safety—which foster a healing, trust-based environment for patients and colleagues. Health & Immunizations: To protect employees, patients, and our community, MarinHealth requires measles, mumps, varicella, and annual influenza immunizations as a condition of employment (and annually thereafter). COVID-19 vaccination/booster remains strongly recommended. Medical or religious exemptions will be considered consistent with applicable law. Compensation: The posted pay range complies with applicable law and reflects what we reasonably expect to pay for this role. Individual pay is set by skills, experience, qualifications, and internal/market equity, consistent with MarinHealth’s compensation philosophy. Positions covered by collective bargaining agreements are governed by those agreements. Equal Employment: All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sexual orientation, gender identity, protected veteran status or disability status, and any other classifications protected by federal, state, and local laws.

RN

Full-time

Clinical RN II, Surgery and Procedures Pre-Op, Full Time, Days

apartment MarinHealth location_onKentfield, CA

ABOUT MARINHEALTH Are you looking for a place where you are empowered to bring innovation to reality? Join MarinHealth, an integrated, independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team, an affiliation with UCSF Health, an ever-expanding network of clinics, and a new state-of-the-art hospital, MarinHealth is growing quickly. MarinHealth comprises MarinHealth Medical Center, a 327-bed hospital in Greenbrae, and 55 primary care and specialty clinics in Marin, Sonoma, and Napa Counties. We attract healthcare’s most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospital's personalized, caring touch. MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others. Company: Marin General Hospital dba MarinHealth Medical Center Compensation Range: $86.13 - $110.25 Work Shift: 10 Hour (days) (United States of America) Scheduled Weekly Hours: 40 Job Description Summary: The purpose of the Clinical RN role is to assess, plan, implement, evaluate, direct, and appropriately delegate to ensure the delivery of safe, quality patient care. This registered professional nurse will function within the full scope of RN licensure, according to the California Nursing Practice Act. The Clinical RN will provide assessment, development, and implementation of the care plan, evaluating the effectiveness of that care, directing emergency interventions, and collaborating with physicians, team members, and others to optimally manage patient care in the interest of the patient, acting as a patient advocate when necessary. Job Requirements, Prerequisites and Essential Functions: Job Specifications: Education: Sufficient education to obtain a valid California RN license Experience: Clinical RN II, either: 6 months to 1-year experience as a Clinical RN I at MarinHealth Medical Center; or Possession of the clinical experience as identified in the appropriate unit -specific job description addendum. License and Certifications: California RN license Required at hire Basic Life Support Required at hire Integrative Agitation Management (IAM) Required within 30 days of hire Prerequisite Skills: Ability to demonstrate proficiency in all items of the Staff Nurse Skills Criteria at the conclusion of the probationary period Demonstrated leadership and delegation skills Demonstrated oral and written communication skills Demonstrated ability to organize and prioritize work; time management skills Ability to work collaboratively with team members, other teams, physicians, and departments Ability to read, speak, write, understand and follow English verbal and written instructions. Primary Customer Served (Age Specific Criteria): Varies by department assigned. Refer to Unit Specific Addendum Employees in this position must be able to demonstrate the knowledge and skills necessary to provide care and/or service based on the physical, psycho/social, educational, safety, and related criteria appropriate to the age of the patients served in his/her assigned service area. Patient Privacy (HIPAA Compliance): Employees in this position have access to protected health information. The protected health information a person in this position can access includes demographics, date of service, insurance/billing, medical record summary information, and all other information that may be contained in patient records. This position requires patient health information to perform the functions outlined as part of this position description. Duties And Responsibilities: Essential (Not Modifiable) Consistently demonstrates the ability to transfer scientific knowledge from social, biological and physical sciences in applying the nursing process as follows: Formulates a nursing diagnosis through observation of the patient's physical condition and behavior, and through interpretation of information obtained from the client and others, including the health team Formulates age specific care planning, in collaboration with the patient, which ensures that direct and indirect nursing care services provide for the patient's safety, comfort, hygiene, and protection, and for disease prevention an restorative measures Perform skills essential to the kind of nursing action to be taken, explains the health treatment to the patient and family, and teaches the client and family how to care for the health needs Evaluates the effectiveness of care planning through observation of the patient's physical condition and behavior, signs and symptoms of illness, reactions to treatment, and through communication with the patient and team members, and modifies the plan as needed Acts as the patient's advocate, as circumstances require, by initiating action to improve health care or to change decisions or activities which are against the interests or wishes of the patient and by giving the patient the opportunity to make informed decisions about health care before it is provided. Demonstrates leadership by supervising, directing and delegating appropriately to care team members. Delegates tasks to subordinates based on the legal scopes of practice of the subordinates and on the preparation and capability needed in the tasks to be delegated, and effectively supervises nursing care being given by subordinates Demonstrates clinical expertise by serving as a clinical expert, role model, and clinical and educational resource to the team, patients, and families. May act as a mentor and assist in the training and development of less experienced staff members Demonstrates professional accountability for nursing practice. Accommodation: Qualified applicants with disabilities may request reasonable accommodation during the application process by contacting Human Resources at 415-925-7040 or TalentAcquisition@mymarinhealth.org . C.A.R.E.S. Standards: MarinHealth seeks candidates ready to model our C.A.R.E.S. standards—Communication, Accountability, Respect, Excellence, Safety—which foster a healing, trust-based environment for patients and colleagues. Health & Immunizations: To protect employees, patients, and our community, MarinHealth requires measles, mumps, varicella, and annual influenza immunizations as a condition of employment (and annually thereafter). COVID-19 vaccination/booster remains strongly recommended. Medical or religious exemptions will be considered consistent with applicable law. Compensation: The posted pay range complies with applicable law and reflects what we reasonably expect to pay for this role. Individual pay is set by skills, experience, qualifications, and internal/market equity, consistent with MarinHealth’s compensation philosophy. Positions covered by collective bargaining agreements are governed by those agreements. Equal Employment: All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sexual orientation, gender identity, protected veteran status or disability status, and any other classifications protected by federal, state, and local laws.

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