Care Manager I (RN) : Irvine Care Management

Hoag • Irvine, CA

3d

About The Position

The Care Manager (RN) coordinates patients’ needs through the continuum of care, which can include 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. 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 populations. Performs other duties as assigned.

Requirements

• Bachelor’s degree in Nursing (BSN) required.
• Registered Nurse (RN) license.

Nice To Haves

• One year of experience in an acute health care setting preferred.
• Fulfills mandatory stroke education requirements per certification agency.

Responsibilities

• Coordinate patients’ needs through the continuum of care, from pre-admission through post-discharge plans.
• Collaborate with physicians, nurses, clinical staff, and community agencies to identify and arrange appropriate care.
• Review clinician assessments and patients’ financial, family, and psychosocial support to develop comprehensive care and/or discharge plans.
• Focus on specific aspects of Care Management such as discharge planning, utilization review, and/or providing psychosocial support.
• Review records to assess for appropriate admission status, level of care, payer source, and UR contracts to validate billing.
• Provide psychodynamic intervention and crisis counseling to support patients and families.
• Educate patients and families on their healthcare options and connect them with resources.
• Document pertinent patient issues, contacts, and plans on the medical records.
• Act as a mandated reporter for elder, child, and spousal abuse.
• Provide Care Management support to high-risk, homeless, and mental health populations (Community Care role).
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level