About this role
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
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).