Inpatient Complex Care Manager - Mercy San Diego
About The Position
This is a full-time benefited position working 10.25-hour shifts on various days of the week including weekend and holiday rotation. Position typically starts at 7/7:30am and ends at 5:45/6:15pm. Located at Scripps Mercy San Diego Hospital (Hillcrest). As an Inpatient Complex Care Manager, you will be responsible for the daily management and coordination of care for patients in the hospital with Identified complex health needs, including coordination with providers, navigators and ancillary and community resources across the system and care continuum. Additionally, you will: Has knowledge of involuntary hold or detention status (to danger to self, danger to others or gravely disabled), conservatorships, public and private as well as Mental Health care needs. Has extensive knowledge regarding multiple insurance plans operating within the service area and may assist patients in coordinating change in insurance coverages and/or assisting to determine if additional medical insurance coverage or government funding is available. Assists in coordination and management of patients outside of the hospital for which hospitals may need to follow due to contractual or transition planning post discharge.
Requirements
- RN license in the state of CA
- 3+ years Hospital Case Management experience
- Case management certification within 12 months of employment and maintained during employment OR 10+ plus years of inpatient hospital Case Management
- Current BLS for healthcare from American Heart Association
Nice To Haves
- BSN/Master's degree in a healthcare related field
Responsibilities
- Daily management and coordination of care for patients in the hospital with identified complex health needs.
- Coordination with providers, navigators, and ancillary and community resources across the system and care continuum.
- Knowledge of involuntary hold or detention status, conservatorships, public and private, and Mental Health care needs.
- Extensive knowledge regarding multiple insurance plans operating within the service area.
- Assist patients in coordinating changes in insurance coverages and/or assisting to determine if additional medical insurance coverage or government funding is available.
- Assist in coordination and management of patients outside of the hospital for which hospitals may need to follow due to contractual or transition planning post discharge.
Benefits
- Transitional and professional development programs
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
