Job DescriptionWe 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.
*$10,000 Employee Referral Program bonus eligible Benefits:NEW 9 story Hospital scheduled for May 2027 - state of the art and double the size!
Clinical Ladder Program. Advancement and leadership opportunities!
Comprehensive benefits starting within 30 days of employment
Retirement Programs
Tuition Assistance Plans
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
- ON-SITE POSITION
QualificationsEducation:- 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).
