Discharge Nurse, LVN - Weekend Shift (Hybrid Work Schedule)

Date: Sep 20, 2022

Location: Rancho Cucamonga, CA, US

Company: Inland Empire Health Plans

Job Requisition ID: 7997 

 

Position Summary/Position

 

Under the direction of the Inpatient Review Nurse Manager and Supervisor, the incumbent will work with their respective Team Centers, that may include a Concurrent Review Nurse and Inpatient Coordinator, along with hospitals and IPAs, to initiate coordinated and continuous cost- effective discharge planning to ensure the continuity Member’s care needs are met timely and readmission prevention is anticipated for IEHP Members.

Major Functions (Duties and Responsibilities)


1. Responsible for assisting with data collection for utilization review, including, but not limited to Member specific needs for daily review in anticipation of discharge needs within 24 hours of admission.
2. Responsible for the arrangement of transitions to lower or higher level of care and assists with transfer orders as needed.
3. Responsible for authorizations for outpatient services or ancillary services in preparation for the Member’s discharge, including, but not limited to home care, home therapies and durable medical equipment.
4. Responsible for ensuring that discharge needs for Member’s include referring Members to Health Management, Health Education, Care Management, Behavioral Health or other internal or external programs as needed.
5. Anticipates and acts upon barriers to ensure effective Member progression by identifying clinical, operational, financial, and social issues that may affect patient outcomes and provides recommendation to the Concurrent Review Nurse for collaboration in an effort to assist Members with adhering to treatment plans and goals.
6. Responsible for assisting Team Center with the identification of Members who are at risk for extended lengths of stay, readmission, high utilization and/or complex discharge needs within the LVN scope of practice.
5. Responsible for timely compliance and completion of cases as required by regulatory requirements.
6. Responsible for working with other Team Members, departments,  IPAs and the facilities to support the goals of the department as well as strategic priorities and vision of the organization.
7. Responsible for the performance of concurrent and retrospective reviews for medical necessity and appropriateness of service and care.

Experience Qualifications

 

Two (2) or more years of utilization management/case management in a health care delivery setting with an emphasis on discharge planning and utilization management.

Education Qualifications

 

High school diploma or GED required.

Preferred Education

Professional Certification

Professional Licenses

 

Possession of an active, unrestricted, and unencumbered Vocational Nurse (LVN) license issued by the California Board of Vocational Nursing and Psychiatric Technicians required.

Drivers License Required

Yes, must have a valid California Driver's License.

Knowledge Requirement

 

Knowledge of evidence based clinically criteria and California Children Services (CCS).

Skills Requirement

 

Must have analytical skills. Excellent communication, interpersonal and organizational skills.

Abilities Requirement

 

Time management and problem solving abilities. Must have a high degree of patience. Self-starter and a team player.

Commitment to Team Culture

 

The IEHP Team environment requires a Team Member to participate in the IEHP Team Culture. A Team Member demonstrates support of the Culture by developing professional and effective working relationships that include elements of respect and cooperation with Team Members, Members and associates outside of our organization.

Working Conditions

 

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; and taste or smell. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.

 

Starting Salary: $61,422.40  - $78,312.00  

Pay rate will commensurate with experience

 

Inland Empire Health Plan (IEHP) is the largest not-for-profit Medi-Cal and Medicare health plan in the Inland Empire. We are also one of the largest employers in the region. With a provider network of more than 7,000 and a team of more than 2,500 employees, IEHP provides quality, accessible healthcare services to more than 1.5 million members. And our Mission, Vision, and Values help guide us in the development of innovative programs and the creation of an award winning workplace. As the healthcare landscape is transformed, we’re ready to make a difference today and in the years to come. Join our Team and make a difference with us! IEHP offers a competitive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and state pension plan.

 


Nearest Major Market: Riverside
Nearest Secondary Market: Los Angeles