RN CASE MGR EX - Case Management - Days - FT - Los Alamitos

University of California, Irvine•Los Alamitos, CA

1d•Onsite

About The Position

The Case Manager is a clinician who in conjunction with other members of the healthcare team is accountable for timely coordination of quality health care services to meet the patient's health care needs across the continuum of care. This position requires knowledge of the development stages as services are provided to infants, children, adolescent, pediatrics, adult and geriatric populations. Also required is knowledge of cultural diversity and influences in the response to illness, as there is diversity in the population serviced. Case management initiates and implements utilization / resource management, continued stay monitoring, discharge planning, supporting optimal patient care outcomes along the continuum of care.

Requirements

Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
Must demonstrate customer service skills appropriate to the job
Excellent written and verbal communication skills in English
Ability to maintain a work pace appropriate to the workload
Ability to establish and maintain effective working relationships across the Health System
Working knowledge of Intequal IS-SI Criteria
Working Knowledge of Medicare, Medi-Cal, NCQA, Heidis, and other criteria identified by the Quality/Case Management Department
Minimum of 1 year discharge planning experience
Working knowledge of managed care and capitation operations
Valid, current California Nursing License
Must be able to provide proof of work authorization