Description
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).