CHA Hollywood Presbyterian Medical CenterCHA Hollywood Presbyterian Medical Center (HPMC) is an acute care facility that has been caring for the Hollywood community and surrounding areas since 1924.
The hospital is committed to serving local multicultural communities with quality medical and nursing care.
With more than 500 physicians representing virtually every specialty, HPMC strives to distinguish itself as a leading healthcare provider, recognized for providing quality, innovative care in a compassionate manner.HPMC is part of a global healthcare enterprise which owns and operates general hospitals throughout Korea, numerous research centers in the U.S.
and Korea including a medical university, and CHAUM (a premier anti-aging life center).Postion Summary:The fundamental focus of the case manager is to integrate, coordinate, and advocate for individuals, families, and groups requiring extensive services to achieve desirable patient outcomes, efficient utilization of resources, patient satisfaction and involvement, and appropriate lengths of stay.+ Assessing all patients based on appropriate criteria (severity of illness/intensity of service) for acute care and admission in appropriate setting (ICU, Med/Surg, OB, Peds, Rehab)+ Interviewing the patients or significant others to identify post hospital care needs within a timely manner and arrange ancillary service needs identified (HHC, HME, Hospice, transport, etc).+ Coordinating patient transfers between facilities.+ Assessing the patient for appropriate level of care using the Severity of Illness/Intensity of service criteria.+ Referring appropriately to allied health personnel and community resources.+ Providing clinical consultation on difficult cases or initiates multidisciplinary care consultations as needed relating to acute care or alternative levels of care.+ Exhibiting open communication with physicians and Physician Advisors to facilitate discharge plans and provide the highest quality of care using established criteria.+ Serving as a resource for physicians, hospital staff, and outside agencies in reference to insurance criteria and governmental regulation.+ Delivering letters of denial, re-determination, and/or referrals to patients, MDs, and billing office upon notification.+ Assisting nursing in communicating to Health Department regarding TB screening for authorized discharges.+ During interview process may need to assist patient (turn, lift up, etc.).+ Maintaining confidentiality of departmental and patient’s information.+ Demonstrating knowledge of age specific care, including but not limited to, identifying the need for additional safety measures, physiological normal values/readings; and assessing skin integrity, behavior, motor skills and/or activities that place patients at risk as well as communicates effectively in a clear, concise, understandable manner.
Applicable for all populations, infant, pediatric, adult, geriatric.+ Pulling files for TARs requested by Physicians required for billing.+ Appealing errors discovered in authorization process relative to payer’s criteria and process.Minimum Education:+ Graduate of an accredited RN ProgramPreferred Education:+ Completion of Case Management Course PreferredMinimum Work Experience and Qualifications:+ Minimum two years’ experience as a RN in an acute care setting.+ Ability to communicate effectively verbally and in writing.+ Must be able to work in a union environment.Preferred Work Experience and Qualifications:+ Minimum two years as a Case Manager Preferred.Required Licensure, Certification, Registration or Designation:+ BLS Card+ Current Los Angeles County Fire Card required (within 30 days of employment).Requisition ID: 2021-3155Shift: DayExternal Company URL: www.hollywoodpresbyterian.comStreet: 1300 N Vermont Ave