About the position
The RN Case Manager is responsible for Care Coordination, Care Transitions, Discharge Planning and Utilization Management throughout the acute care patient experience. The RN Case Manager works in collaboration with the Physician, Medical Social Worker and bedside RN to assure the timely movement of patients to the appropriate level of care to prevent unnecessary admissions or readmissions. Oversees the management of acute patient populations across the care continuum with the primary focus to provide coordinated, timely and integrated care. The RN Case Manager reports to either the Supervisor or Manager or Director of Care Coordination in each facility. The RN Case Manager has frequent contact with patients, families, physicians, the interdisciplinary team, nursing management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and community resources.
Responsibilities
- Care Coordination and Care Transitions
- Discharge Planning and Utilization Management
- Collaboration with Physicians, Medical Social Workers, and bedside RNs
- Management of acute patient populations across the care continuum
- Timely movement of patients to appropriate levels of care
- Prevent unnecessary admissions or readmissions
- Frequent contact with patients, families, and interdisciplinary teams
Requirements
- Bachelor's degree in Nursing or Health Administration
- RN-Registered Nurse of California (required)
- Minimum of three (3) years in acute medical/surgical/ED/ or critical care nursing area required
- Experience utilizing electronic medical record systems
- Excellent interpersonal communication and negotiation skills
- Ability to work independently and exercise sound judgment
Nice-to-haves
- CCM-Certified Case Manager (preferred)
- Previous Case Management experience preferred
- Experience with clinical assessment for patients with complex medical, emotional and social needs
- Experience and knowledge with MIDAS preferred
- General Knowledge of coding and DRG assignment process preferred
Benefits
- Comprehensive benefits package
- Rotating weekends
- Part-time schedule
