DaVita LVN, Patient Support Center in TORRANCE, California

LVN, Patient Support Center

Description

DaVita Medical Group manages and operates medical groups and affiliated physician networks in California, Nevada, New Mexico, Florida, Colorado and Washington in its pursuit to deliver excellent-quality health care in a dignified and compassionate manner. As of June 30, 2016 DaVita Medical Group (formerly HealthCare Partners) provided integrated care management for approximately 760,000 patients. DaVita Medical Group’s leadership development initiatives and social responsibility efforts have been recognized by Fortune, Modern Healthcare, Newsweek and WorldBlu.

We are committed to bringing the benefits of coordinated care to our patients and to taking a leading role in the transformation of the national healthcare delivery system to assure quality, access, and affordable care for all.

If you're looking to make a difference with a large, financially stable, well-recognized medical group, DaVita Medical Group may be the employer for you.

OVERVIEW OF POSITION

Under thedirection of a registered nurse, this position is responsible for after hours,weekends and holiday telephonic care management in conjunction with other PSCnursing duties as assigned for all five regions within HealthCare Partners. Willensure the continuity of care in both the inpatient and outpatient settingutilizing the appropriate resources within the parameters of establishedcontracts and patients’ health plan benefits. Facilitates continuum of patients’ care utilizing basic nursingknowledge, experience and HCP’s guidelines to ensure appropriate utilization ofresources and patient quality outcomes. Reports findings to the Care Management department and PSC nurses byutilizing Patient Support Centeremail address in a timely manner.

ESSENTIAL FUNCTIONS:

  • Consistently exhibits behavior and communicationskills that demonstrate HealthCare Partners’ (HCP) commitment to superiorcustomer service, including quality, care and concern with each and everyinternal and external customer.

  • Provides after-hours support to Hospitalist in thecoordination of care from out of area to core facilities (non contractedfacilities to contracted facilities)

  • Implements current policies and procedures set bythe Care Management department.

  • Reviews patient referrals within the specified caremanagement policy timeframe (Type and Timeline Policy).

  • Coordinates treatment plans and dischargeexpectations and discusses DPA and DNR status with attending physician whenapplicable.

  • Prioritizes patient care needs and telephonicallydiscusses treatment plans with patients and appropriate representatives of theHCP patient.

  • Identifies and assists with the follow-up ofhigh-risk patients in acute care settings, skilled nursing facilities,custodial and ambulatory settings.

  • Consults with physician and other team members toensure that care plan is successfully implemented.

  • Coordinates provisions for discharge fromfacilities including follow-up appointments, home health, social services,transportation, etc., in order to maintain continuity of care.

  • Communicates authorization or denial of services toappropriate parties which may include patient (or agent), attending/referringphysician, facility administration and HCP claims as necessary.

  • Attends all PSC meetings.

  • Demonstrates a thorough understanding of the costconsequences resulting from care management decisions through utilization ofappropriate reports such as Health Plan Eligibility and Benefits, Division ofResponsibility (DOR), and Bed Days.

  • Provides accurate information to patients andfamilies regarding health plan benefits, community resources, specialtyreferrals and other related issues.

  • Uses, protects, and discloses HCP patients’protected health information (PHI) only in accordance with Health InsurancePortability and Accountability Act (HIPAA) standards.

  • Performs additional duties as assigned.

Qualifications

EDUCATION:

  • 1 or 2 years of post-high school education or adegree from a two-year college.

  • Graduation from an accredited school of Nursing.

  • Current California LVN license.

  • Basic Life Support for Healthcare providers (AHA)or CPR/AED for the Professional Rescuer (American Red Cross).

EXPERIENCE:

Minimum:

  • Over 1 year and up to and including 3 years ofclinical experience.

  • At least 1 year of recent clinical experience.

Preferred:

  • 3 to 5 years of recent clinical nursing experience.

  • Previous care management, utilization review ordischarge planning experience.

  • Managed care experience.

KNOWLEDGE, SKILLS, ABILITIES:

  • Computer literate.

  • Knowledge of current standards of patient care.

  • Thorough understanding of LVN scope of practice.

  • Manual dexterity to use/handle equipment andinstruments.

  • Ability to effectively communicate and collaboratewith physicians, patients, families and ancillary staff.

  • Ability to make sound, independent judgments andact professionally under pressure.

Primary Location CA-TORRANCE - 90503

Req ID: 307150