Registered Nurse (Rn) Case Manager, Utilization Management, Full-Time, Days

Position Summary:

The Registered Nurse Case Manager collaborates with other professional disciplines/unit leaders to ensure safe and effective patient care delivery and the achievement of desired patient outcomes. S/he is responsible for facilitation of appropriate length of stay and continuum of care outcomes, through the care management of all systems and services required for an organized, multidisciplinary team approach to care.

The RN Case Manager coordinates patient's care from hospitalization through discharge in collaboration with the health plan partners, to best meet the patients' physical, emotional, and spiritual needs and post-acute needs. The RN Case Manager uses a problem-solving process that includes assessment, problem identification, goal definition, plan development, evaluation, reassessment, and plan revision, and documentation in the patient record to achieve optimum patient outcomes on both an individual and population basis.

Experience/Education:

• Current California RN license required

• BSN &/or Masters degree preferred

• Current AHA BLS for Healthcare Providers card required

• Case Management Certification preferred

• Bachelor's degree or higher preferred

• Current BLS issued by American Red Cross required.

• Experience in clinical areas and specifically in area of specialization with knowledge of utilization review, discharge planning activities, government and managed care regulations, quality improvement principles and risk management preferred

• Recent CM experience in an Acute Care setting required

• Certification in CM preferred.