Nursing Jobs in Burbank, CA

Level III Staff RN - Clinic - Per Diem - Gastro - West LA

apartment Kaiser Permanente location_onLos Angeles, CA

Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance consistent with the Medical Center Vision, Mission, and Strategic Plan of the organization. Remains flexible to changing systems; is expected to demonstrate quality and effectiveness in work habits and clinical practice; and treats co-workers, patients, families, and all members of the health care team with dignity and respect. Essential Responsibilities: The Registered Nurse demonstrates proficiency by exhibiting the following skills, competencies, and behaviors: Leadership: Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities, and applicable state, federal and local laws. Serves as a leader of the health care team; delegates tasks appropriately, and demonstrates appropriate accountability. Understands own and team members scope of practice and escalates issues as appropriate. Demonstrates professional, supportive behavior. Champions new ideas. Leads and directs others through the change process. Utilizes communication strategies including chain of command and issue escalation, which result in intended outcomes. Participates in problem identification and resolution. Mentors, orients, and coaches others in unit specific operations and patient care activities Shares responsibility and authority with subordinates and holds him/her accountable for performance. Demonstrates ability to problem solve with other departments in order to assist member problem resolution. Prioritizes, delegates, and supervises work assignments appropriately to ensure completion of patient care activities. Complies with regulatory requirements, policies, procedures, and standards of practice. Nursing Process: Develops and/or contributes to the individualized plan of care that reflects assessment, planning, implementing, and evaluating the outcomes of that plan. Ensures plan shows multidisciplinary planning, consultation, and education. Ensures plan is reflective of admission or outpatient database, on-going findings, age appropriate care, cultural specific needs, and appropriate acuity. Ensures plan is discussed with patient, family/significant others, and completed in a timely manner. Monitors the patients progress based on the plan. Revises plan on ongoing basis based on patient condition and evaluation of progress. Ensures care meets standards of practice. Ensures effective development and completion of discharge plan including discharge barriers and patient/family education. Ensures that patient clearly understands discharge instructions. In outpatient, identify barriers and needs for patient/family education that will facilitate the outpatient medical management plan. Ensures patient safety related but not limited to, medications and procedures utilizing the five rights; patient falls; decubitus prevention and prevention of nosocomial infections. Ensures optimal pain control and patient comfort; identifies and discusses patient anxieties, fears or concerns regarding patient condition, treatment or discharge. Ensures that patient understands medication purpose, side effects, and administration instructions in the hospital as well as at the time of discharge . Documentation: Charting is accurate, legible, dated, and timed. Documentation reflects nursing process and interventions and evaluations taken. Utilizes computer systems effectively and efficiently for optimal patient care. Clinical Outcomes: Discusses patient findings and progress toward outcomes with physicians and other members of the health care team. Demonstrates competencies during the probationary period and ongoing completion by departmental competency validation. Make comprehensive nursing decisions based on interpretation of data, assessments, and evaluations of patient outcomes. Participates in departmental performance improvement activities, i.e., planning, measuring/monitoring, assessing, and improving. Workplace Safety: Adherence to LMP Workplace Safety principles and practices. Applies standard precautions; maintains a safe environment for self and others Patient Care Experience: Practices customer service standards as defined by the Service Area, Medical Center, and specified department. Promptly answers call lights, alarms, and patient requests. Makes appropriate referrals and facilitates the customers ability to utilize resources. Maintains and protects patient confidentiality Ensures clean, orderly, and functional work environment. Treats all families of patients with courtesy, respect, kindness and compassion. Provides an optimal patient care experience by actively listening to the needs of patients and family members and taking responsibility for meeting those identified needs. Gives patients information in a way they can understand and ensures comprehension. Provides a patient care experience that exceeds members expectations. Team Commitment: Viewed by others to be an effective team member who is flexible, cooperative, and willing to assist others. Confronts difficult or conflict situations constructively and seeks appropriate assistance. Takes accountability for own actions and accepts constructive criticism. Acts as a resource, preceptor, and mentor to new employees, registry, students, and other team members. Attends all mandatory meetings, in-services and staff meetings as required, actively participates in other departmental professional development. (Requirement may vary for per diem staff). Participates with the assessment of current and future unit learning needs and development of an annual education plan. Keeps self informed of activities on the unit and makes recommendations for change. Adheres to Attendance Program. Reports to assigned area promptly, being present and available for report at beginning of assigned shift. Supports a collaborative Labor-Management Partnership environment through unit based teams. Fiscal Responsibility Organizes work to minimize the use of overtime. Identifies and assists in systems improvement that needs simplification or correction. Utilizes payroll and non-payroll resources to their maximum potential.

RN

Other

Case Manager, RN

apartment AHMC Healthcare location_onWhittier, CA

Overview Under the general supervision of the case management Director acts as a patient advocate/case manager to hospital clients. An autonomous role that coordinates, negotiates, procures services and resources for, and manages the care of complex patients to facilitate achievement of quality and cost efficient patient outcomes. Looks for opportunities to reduce cost while ensuring the highest quality of care is maintained. Applies review criteria to determine medical necessity for admission and continued stay. Provides clinically based case management, discharge planning, and care coordination to facilitate the delivery of cost-effective quality health-care and assists in the identification of appropriate utilization of resources across the continuum of care. Works collaboratively with interdisciplinary staff internal and external to the organization. Participates in quality improvement and evaluation processes related to the management of patient care. Responsibilities Assessment Does the initial screening of all elective in patient admissions related to: Level of care Appropriateness of admission (IS-SI) Discharge needs Third party contractual arrangements Appropriate resource utilization Coordinates the pre-admission screening and education of the identified patient populations Coordinates out-of-area transfers Documents patients admitted directly through Pre-Admissions in the laptop system and forwards the information on to the Case Managers as appropriate with discharge planning concerns and the initial discharge-planning screen Technical and Job Specific Skills Develops educational programs (pre/post op surgeries), high risk screening tools, Care-Maps for the Pre-Admit phase of identified populations and proactive discharge planning. Coordinates OOA/OON Managed Care admissions, as well as meeting criteria and the Level of Care, which is appropriate according to Interqual and Millman & Robertson Guidelines. Serves as a source in selecting and assigning the admission types (i.e. In Patients, 23:59, SOS, etc.). Interacts with the admitting MD as appropriate involving the Physician Adviser as needed for inappropriate admits/transfers/level of care. Oversees that Pre-Admit TAR's are obtained and the patients payer sources have the appropriate network among the patients health care team (i.e. Case Mgmt, Business Office, Physicians, Social Services, Nurse Manager, etc.) Is a clinical resource to admitting department and provides ongoing education on the effective resources of the Pre Admission Case Manager and Quality/Case Management Department to physicians, physician office staff, nursing. Maintains identified tracking and data statistics as requested by Commitment to Quality role in Case Management. Performance/Process Improvement Is aware of and follows all hospital and department process policies and procedures. Is knowledgeable of Improvement performance/process improvement (P.I.) methodology. Can verbalize knowledge of hospital-wide performance/process improvement activity. Offers suggestions for departmental and/or hospital-wide performance/process improvement. Knowledge of and participation in the performance/process improvement is a condition of employment. Guest/Interdepartmental Relations As observed by representatives of management, all interactions are conducted in a professional manner. Verbal and written feedback from patients, family members/significant others, medical staff, visitors and co-workers indicates behavior conducive to positive guest relations. Consistently exhibits appropriate phone protocol (e.g., answers phones promptly, is courteous, helpful and identifies self and department). Consistently contributes to the team effort (e.g., assists co-workers when need is observed or upon request, offers constructive suggestions rather than complaints). Consistently displays cheerful and positive attitude. Productivity Maintains high productivity and performs efficiently regardless of whether the work volume is high or low. Appropriately prioritizes work activities. Responds to difficult situations with self-control and a positive attitude. Makes decisions independently and knows when to ask for assistance. Exercises good judgment and arrives at sound decisions. Key Success Factors Employee reports to work each regularly scheduled work day. Is ready for work at precise starting time and continues working until scheduled departure time. Readily accepts work assignments in a positive manner. Performs work that is accurate, neat and consistent. Documentation is legible. Keeps work area neat and maintains equipment in accordance with health and safety codes. Reports safety issues and equipment failures appropriately. Projects a professional image, follows the hospital dress code policy and/or department requirements. Wears hospital ID badge at all times on duty. Sensitive information including, but not limited to, patient records, charts, hospital documents and employee information is kept confidential without exception. Completes annual requirements (PPD, requirements, Annual Update, Ethics Training, Licensure and/or Professional Certification) on time. Communicates with nursing and other hospital personnel, regarding laboratory procedures, results, etc. Communicates in a clear, courteous and professional manner. Professional Conduct Employee has the willingness and ability to perform additional duties and responsibilities in different areas of the department as on an-needed basis or as determined by management. Follows established hospital and department policies. No more than 2 written substantiated complaints representing a breach of policy, procedure or professional behavior since last evaluation. Demonstrates the philosophy of team concept. Participates in group projects and staff meeting with suggestions that enhance the work environment and increase productivity. Communicates well with supervisor reporting problems with equipment, supplies, or procedures. Requests assistance as appropriate. Maintains confidentiality as related to job responsibilities. Exhibits willingness to resolve problems as they arise. Consistently projects positive professional image through appearance and behavior. Completes assigned work within shift. Professional Growth and Development Completes annual safety updates within the established time frames. Completes general and departmental orientation within established time frames. Attends 100% of mandatory in-service programs. Maintains licensure/certification as appropriate. Attends 75% of staff meetings or reads and initials minutes. Keeps up with reading memos without reminders. Does continuing education programs on time and with good test scores. Performance Improvement Consistently strives to understand, anticipate and meet the needs, expectations and satisfaction levels of patients and other "customers". Errors, inefficiencies and inaccuracies are brought to management's attention with suggestions for improvement. Develops innovative solutions to departmental problems. Identifies and implements methods of controlling coast or generating revenue while providing maximum value to both the patient/customer and the hospital. Maximizes efficiency in all departmental operations. Measures progress against quality goals. Actively promotes our Attitude is Everything, Core Measure, No Pass Zone, Avatar and Front Stage/Back-Stage goals. Additional Responsibilities Coordinates and supervises data and reporting needs and provides timely discharge planning. Frequent contact with other organization units, outside facilities staff to obtain, verify and/pr provide information for the discharge follow up. Answers inquires and education th patients/family, physicians and hospital staff on discharge. May coordinate and supervise Air & Ground transportation. Coordinates and supervise cases and referral information (SNF, Home Health and DME). Maintain the consistency and integrity of Case Management/Social Services bed track data. Department-Specific Competencies Medication administration Basic Life Support Respiratory care Isolation technique Blood glucose testing Qualifications Minimum Education: Preferred Bachelors of Science/Nursing or Bachelors of Health Care Administration Minimum Experience: Minimum of 5 years’ experience in the acute care setting. Working knowledge of interQual IS-SI, Milliman nd Robertson Managed Care Guidelines, Erickson Life Skills (Age Competencies}, Medicare Part A and Part B, Medi-Cal, NCQA, HEDIS and other criteria as identified by the Quality/Case Management Department. Working knowledge of Care-M.A.P. development and implementation. Minimum of 1 year of discharge planning experience. Working knowledge of managed care and capitation. Required Certification/Registration: Current, valid California RN license.