Care Manager I (RN) : Irvine Care Management
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. The Care Manager reviews clinician assessments and patients’ financial, family, and psychosocial support to develop comprehensive care and/or discharge plans. The role may focus more heavily on a specific aspect of Care Management like discharge planning, utilization review, and/or providing psychosocial support. The Care Manager may review records to assess for appropriate admission status, level of care, payer source, and UR contracts to validate billing. The role may provide psychodynamic intervention and crisis counseling to support patients and families. The Care Manager educates patients and families on their healthcare options and connects them with resources. The role documents pertinent patient issues, contacts, and plans on the medical records. The Care Manager 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
- Registered Nurse (RN)
- Experience in care management
- Ability to collaborate with physicians, nurses, clinical staff, and community agencies
- Ability to review clinician assessments and patient information
- Ability to develop comprehensive care and/or discharge plans
- Ability to provide psychodynamic intervention and crisis counseling
- Ability to educate patients and families on healthcare options and resources
- Ability to document patient information accurately
- Mandated reporter for elder, child, and spousal abuse
Nice To Haves
- Focus on discharge planning
- Focus on utilization review
- Focus on providing psychosocial support
- Experience with high-risk, homeless, and mental health populations
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 for 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.
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What This Job Offers
Career Level
Entry Level
