Case Manager RN

San Antonio Regional Hospital • Upland, CA

2d • Onsite

About The Position

Evaluates the clinical status of patients using evidence based criteria to determine medical necessity for hospitalization, clinical progression and continued acute care needs. Utilizes information about clinical condition, prior level of functioning and anticipated treatment plan to support a safe, smooth transition to other levels of care.

Requirements

• Graduate of a nursing program, leading to RN licensure.
• Current RN licensure in the State of California.
• Current American Heart Association (AHA) BLS card.
• Basic computer skills with working knowledge of Word.
• Willingness to learn all aspects of the Business Services, Case Management, Emergency Department and hospital wide electronic medical record systems.
• Must be able to perform the essential physical requirements of the job as noted in the job description.

Nice To Haves

• Three years’ acute hospital experience preferred.
• Experience in utilization review, discharge planning and/or case management is preferred.
• For Per Diem positions 1-2 years previous acute inpatient adult case management experience is required.
• Knowledge of common disease processes.
• Knowledge of health care delivery systems.
• Demonstrates understanding of common reimbursement methodologies.
• Able to manage competing priorities and effectively prioritizes work.

Responsibilities

• Evaluates the clinical status of patients using evidence based criteria to determine medical necessity for hospitalization, clinical progression and continued acute care needs.
• Utilizes information about clinical condition, prior level of functioning and anticipated treatment plan to support a safe, smooth transition to other levels of care.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree