Care Manager I (RN): Care Management

Hoag•Newport Beach, CA
•$49 - $76•Onsite

About The Position

The Care Manager I (RN) - Discharge Planner coordinates patients’ needs through the continuum of care, from pre-admission through post-discharge plans. This role works in collaboration with physicians, nurses, clinical staff, and community agencies to identify and arrange for appropriate care. The Care Manager I (RN) is responsible for coordinating patient care across the continuum to ensure safe, timely, and appropriate discharge planning. The discharge planner collaborates closely with physicians, nursing staff, and interdisciplinary teams to assess patient needs, manage utilization, and optimize clinical outcomes. They facilitate transitions of care and identify barriers to discharge while promoting efficient use of healthcare resources. Ideal candidates demonstrate strong clinical judgement, communication skills, and the ability to work independently in a fast-paced hospital environment. Reviews clinician assessments and patients’ financial, family and psychosocial support to develop comprehensive care and/or discharge plans. May focus more heavily on a specific aspect of Care Management like discharge planning, utilization review, and/or providing psychosocial support. May review records to assess for appropriate admission status, level of care, payer source, and UR contracts to validate billing. May provide psychodynamic intervention and crisis counseling to support patients and families. Educates patients and families on their healthcare options and connects them with resources. Documents pertinent patient issues, contacts and plans on the medical records. Is a mandated reporter for elder, child, and spousal abuse. The Community Care role specifically provides Care Management support to high-risk, homeless and mental health population. The ED Care Manager role also provides care management support / collaboration when consulted for geriatric patients 65+ to address the unique needs of older adults, which may include physical, emotional, financial, and social well-being. Performs other duties as assigned. This position requires weekend availability.

Requirements

  • Registered Nurse (RN) license
  • Bachelor’s degree in Nursing (BSN) required (or BSN program started within one year of hire and attained within two years of starting for Magnet designated facilities)
  • One year of experience in an acute health care setting preferred

Nice To Haves

  • Recent acute care hospital experience, preferably in case management, discharge planning.
  • Experience coordinating complex discharges, including SNF, ARU, LTACH, and home health services.
  • Excellent interdisciplinary collaboration and communication skills.
  • Strong critical thinking and problem-solving abilities.
  • Proficient in electronic medical record (EMR) systems, preferably EPIC.
  • Flexibility to adapt to changing unit needs and schedule in a per diem capacity.
  • Shared values in excellence in patient care, respect, integrity, patient centeredness, and community benefit.

Responsibilities

  • Coordinates patients’ needs through the continuum of care, from pre-admission through post-discharge plans.
  • Works in collaboration with physicians, nurses, clinical staff, and community agencies to identify and arrange for appropriate care.
  • Coordinates patient care across the continuum to ensure safe, timely, and appropriate discharge planning.
  • Collaborates closely with physicians, nursing staff, and interdisciplinary teams to assess patient needs, manage utilization, and optimize clinical outcomes.
  • Facilitates transitions of care and identifies barriers to discharge while promoting efficient use of healthcare resources.
  • Reviews clinician assessments and patients’ financial, family and psychosocial support to develop comprehensive care and/or discharge plans.
  • May focus more heavily on a specific aspect of Care Management like discharge planning, utilization review, and/or providing psychosocial support.
  • May review records to assess for appropriate admission status, level of care, payer source, and UR contracts to validate billing.
  • May provide psychodynamic intervention and crisis counseling to support patients and families.
  • Educates patients and families on their healthcare options and connects them with resources.
  • Documents pertinent patient issues, contacts and plans on the medical records.
  • Acts as a mandated reporter for elder, child, and spousal abuse.
  • Provides Care Management support to high-risk, homeless and mental health population (Community Care role).
  • Provides care management support / collaboration when consulted for geriatric patients 65+ to address unique needs (ED Care Manager role).
  • Performs other duties as assigned.
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