Care Manager I (RN) : Care Management

Hoag • Newport Beach, CA

4d

About The Position

The Care Manager (RN) coordinate patients’ needs through the continuum of care which can include from pre-admission through post discharge plans. This role works in collaboration with the 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 population. Performs other duties as assigned.

Requirements

• Bachelor’s degree in Nursing (BSN) required.
• Care Manager (RN)s at Magnet designated facilities only require a 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.
• Registered Nurse (RN) license - for Care Manager I (RN) position
• Community Health: CA Driver’s License

Nice To Haves

• One year of experience in an acute health care setting preferred.

Responsibilities

• coordinate patients’ needs through the continuum of care which can include from pre-admission through post discharge plans
• works in collaboration with the 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
• 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
• 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
• Performs other duties as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 5,001-10,000 employees