Care Manager I (RN): Care Management

Hoag • Newport Beach, CA

4d • 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 collaborates with physicians, nurses, clinical staff, and community agencies to identify and arrange appropriate care. The primary responsibility is coordinating patient care across the continuum to ensure safe, timely, and appropriate discharge planning. The discharge planner assesses patient needs, manages utilization, and optimizes clinical outcomes. They facilitate transitions of care, identify barriers to discharge, and promote efficient use of healthcare resources. Ideal candidates demonstrate strong clinical judgment, communication skills, and the ability to work independently in a fast-paced hospital environment. This role involves reviewing clinician assessments and patients’ financial, family, and psychosocial support to develop comprehensive care and/or discharge plans. It may focus on specific aspects like discharge planning, utilization review, or providing psychosocial support. The role may also involve reviewing records to assess for appropriate admission status, level of care, payer source, and UR contracts to validate billing. Additionally, it may include providing psychodynamic intervention and crisis counseling to support patients and families, educating patients and families on healthcare options, connecting them with resources, and documenting pertinent patient information. Mandated reporter for elder, child, and spousal abuse. The Community Care role specifically supports high-risk, homeless, and mental health populations. The ED Care Manager role provides care management support/collaboration for geriatric patients 65+ to address their unique needs, including physical, emotional, financial, and social well-being. Performs other duties as assigned. This position requires weekend availability.

Requirements

• Fulfills mandatory stroke education requirements per certification agency.
• Bachelor’s degree in Nursing (BSN) required.
• Registered Nurse (RN) license.

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.
• One year of experience in an acute health care setting preferred.
• For Care Manager (RN)s at Magnet designated facilities only: BSN or that a BSN program is started within one year of hire date and BSN degree is attained within two years of the starting the BSN program.

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 the unique needs of older adults (ED Care Manager role).
• Performs other duties as assigned.

What This Job Offers

• Career Level: Entry Level