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Full Time Case Manager Nurse Job Costa Mesa, CA
Employer Care Partners
alarm 4 months ago

Job Description

Full Time Transitional Care Nurse (LVN) for Inland Empire Team

Office-based in Costa Mesa

Who You'll Work With

Care Partners Transitional Medicine, in conjunction with Global Transitional Care, was created to transform how healthcare is delivered to the most medically vulnerable members in our community. Our medical group provides home-based medical care to chronically ill patients, many of whom are frail, elderly, and ill-equipped to navigate our overwhelming healthcare system.

What You'll Get

  • Quality of Life - Monday through Friday schedule that emphasizes work-life balance
  • Benefits - Comprehensive benefits package including paid days off
  • Development - Mentoring from the Care Partners Medical Group PACE clinical leadership team
  • Family ' If you're on our team, you're not an employee'you're family

Position Summary

Under the supervision of an Advanced Practice Transitional Care Nurse (AP-TCN) and Registered Nurse, the Transitional Care Nurse provides continuity of care throughout a patient's episode of acute care, from enrollment during hospitalization through a maximum of 90 days post hospitalization. In collaboration with other health care team members, including the patient and family/caregiver, the TCN coordinates and implements the individualized plan of care. TCNs use their clinical judgment to determine the 'discharge readiness' of each patient. The Transitional Care Nurse also leads and supports care programs and research, and assists in marketing, business development, outreach, education, quality improvement, and other initiatives as needed.

  • Work schedule: Monday through Friday, business operation hours
  • Work location: In-Office in Costa Mesa
  • Reports to: Vice President of Clinical Services

Your Responsibilities

  • Initiates telephone outreach and is available by phone during office and on-call hours
  • Works independently and keeps Nurse Practitioner and Registered Nurse informed of patient status.
  • Uses all components of the Transitional Care Model and nursing process including assessment, triage, planning, implementing, and evaluating care to meet the patients' needs.
  • Provides health maintenance, and medication and disease management education to patients and families/caregivers.
  • Collects, organizes, documents, and analyzes data, synthesizing it into understandable information
  • Coordinates continuity of care, prevention and avoidance of complications, and close clinical treatment and management under the direction of the patient's primary healthcare provider(s), assigned Nurse Practitioner, and Registered Nurse.
  • Effectively communicates, problem-solves, and maintains productive and effective interpersonal relationships while effectively prioritizing.
  • Works with outside facilities and agencies on a routine basis, maintaining positive working relationships.
  • Supports patients and their families, and provides compassionate care
  • Reports back to supervising Registered Nurse, Nurse Practitioner and VP of Clinical Services

Your Qualifications

  • Required
    • Authorization to work in the US
    • Associate's degree from an accredited Nursing Program
    • Five (5) or more years as an LVN, preferably in an acute care or home care setting
    • Current CA LVN license
    • BLS
    • Car, driver's license, auto insurance, and safe driving history
    • English proficiency
    • Computer literacy (i.e. Microsoft Office Suite)
  • Preferred
    • BSN
    • Bilingual, Spanish preferred
    • Public Health and/or Case Management certification
    • Community education experience

Your Opportunities for Growth and Success

  • Diversity & Inclusion - We value the individual connections and collective efforts in creating a diverse, inclusive, and collaborative space to set the foundations for future progress.
  • Holism ' We demonstrate a patient-centric approach when interacting with co-workers, participants, clients, and all other business contacts through Care Partners' pillars of love, empathy, and compassion.
  • Autonomy ' You will be completing responsibilities with minimal direct supervision with the expectation that you will achieve goals and objectives of the organization under varying circumstances.
  • Impact ' By joining our team, you will be a part of a rapidly growing, forward-thinking organization. You get to play a critical role in directly supporting the organization's mission, vision, and values. Your continuous efforts and opportunities to improve efficiency, take initiative, and collaborate with fellow leaders could be the determining factor leading to high strides in the organization's growth.

For questions, please contact:

  • Anna Kim - 949.522.9467