Case Manager RN - Utilization Review

St. Joseph Health Napa , CA 94558

Posted 7 days ago

We are looking for a Care Manager RN for Utilization Review at Queen of the Valley!

Location: Queen of the Valley Medical Center

  • Napa, CA

Schedule: Full-time

  • 80 biweekly hours

Shift: 8-hour Evenings


The RN Case Manager is responsible for carrying out effective case management functions for identified patients by planning, coordinating, negotiating, procuring and managing the care and needs of complex patients and their families throughout the continuum of care.The RN Case Manager assists patients in the utilization of appropriate health care services.Position may require Utilization Management and Discharge Planning, Chronic Disease Case Management based on inpatient settings.


  • Exceptional communication and interpersonal skills

  • Competent nursing assessment skills

  • Sensitivity to the needs and situations of a multi-cultural population from a variety of income levels

  • Strong organizational skills and ability to effectively present written and verbal information

  • Proficiency with computers and telecommunication devices, such as smart phones

  • Application of safety principles when performing duties

  • Demonstrates ability to maintain fiscal responsibility in service utilization

  • Ability to perform duties and responsibilities in an independent manner with little direct supervision, and complete job duties and responsibilities in a timely, accurate, thorough manner

  • Models professionalism through effective time management, efficiency and a positive team approach

  • Flexibility and an ability to adapt to changing and evolving hospital and departmental priorities


Education: Bachelor degree in Nursing (BSN) or other healthcare related field


Two (2) years of combined clinical experience in an acute care hospital setting


One (1) year current experience in an inpatient or outpatient case management setting


Recent completion of a post-graduate level curriculum focusing on case management

Training: None

License / Certification:

  • Current California RN license

  • Current Healthcare Provider BLS certification


  • Case management, discharge planning, or utilization management experience in the acute, sub-acute, home health setting or managed care environment
  • CCM or ACM Case Management certification

For 50 years, Queen of the Valley Medical Center has been the premiere medical facility in the Napa Valley.

Our long history of providing high quality and caring service is founded on five core values: Compassion, Dignity, Integrity, Excellence and Justice. These central principles inspire us to reach out to those in need and to help heal the whole person-mind, body and spirit.

Queen of the Valley Medical Center combines the region's most qualified physicians and staff with the most advanced technology available.

Because we have such high standards of care, our programs have been recognized regionally and nationally for their demonstrated success of outcome and care which is par with university hospitals.

Queen of the Valley Medical Center provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.

In addition to federal law requirements, Queen of the Valley Medical Center complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Positions specified as "on call/per diem" refers to employment consisting of shifts scheduled on as "as needed basis" to fill in for staff vacancies.

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Case Manager RN - Utilization Review

St. Joseph Health