Job Description

We are seeking an exceptionally skilled RN Case Manager to join our dedicated Case Management team. This position offers an outstanding opportunity to work in a dynamic inpatient setting where you will plan and coordinate patient care from pre-hospitalization through discharge. You will hold a meaningful role in ensuring flawless care and treatment, collaborating closely with all members of the health care team.

Responsibilities

• Perform evaluations and assessments within the established timeframes
• Detail appropriate reviews for assigned patients using our utilization review tool
• Provide telephonic reviews for identified contracted/private patients and collaborate with on-site and/or outside reviewers
• Keep patients informed of progress and provide information related to disease progression
• Collaborate with discharge planners to make orders and arrange for home care equipment and healthcare needs
• Work with third-party payers to validate orders
• Educate patients and families on all aspects of hospitalization and continuing care
• Assume responsibility for timely completion of required case management reports for regulatory bodies, health plans, and insurance carriers
• Interact professionally with patients, families, and caregivers, involving them in the formation of the plan of care and discharge needs
• Coordinate with the multidisciplinary team to ensure the identification of a safe and appropriate discharge plan for each assigned patient
• Ensure documentation meets current standards and policies
• Maintain department cleanliness and safety
• ONSITE POSITION

Qualifications

Education:

• Associate's degree in Nursing (required).
• Bachelor's degree in Nursing (preferred).

Certifications/Licenses:

• Current and valid California RN License (required).
• Certified Case Manager (CCM) or Accredited Case Manager (ACM) (preferred).

Experience:

• Two (2) years of nursing experience in an acute care setting (required).
• One (1) year of Case Management experience (preferred).