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RN Case Manager Full Time Days
2 months ago
The RN Case Manager is a key member of our healthcare team at Doctors Hospital of Manteca, responsible for facilitating care along a continuum through effective resource coordination to help patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and right to self-determination.
Key Responsibilities- Accurate medical necessity screening and submission for Physician Advisor review
- Care coordination
- Transition planning assessment and reassessment
- Implementation or oversight of implementation of the transition plan
- Leading and facilitating multi-disciplinary patient care conferences
- Managing concurrent disputes
- Making appropriate referrals to other departments
- Communicating with patients and families about the plan of care
- Collaborating with physicians, office staff, and ancillary departments
- Leading and facilitating Complex Case Review
- Assuring patient education is completed to support post-acute needs
- Timely complete and concise documentation in Case Management system
- Maintenance of accurate patient demographic and insurance information
- Identification and documentation of potentially avoidable days
- Identification and reporting over and underutilization
Education:
- Required: Graduate of an accredited school of nursing. Academic degree in nursing (bachelor's or master's).
- Preferred: Academic degree in nursing (bachelor's or master's).
Experience:
- Required: 5 years of acute hospital patient care experience.
- Preferred: Acute hospital case management experience.
Certifications:
- Required: RN. Must be currently licensed, certified, or registered to practice profession as required by law or regulation in state or practice or policy. Active RN license for state(s) covered.
- Preferred: Accredited Case Manager (ACM)
Lift/position up to 25 lbs. Push/pull up to 25 lbs. of force.
Frequent sitting. Moderate standing, walking, reaching, stooping, or bending.
Manual dexterity, mobility, touch, auditory to perform all the related duties of the position.
CompensationPay range: $83.34 hourly
Individual wages are determined based upon a number of factors including, but not limited to, an individual's qualifications and experience
Equal Employment OpportunityDoctors Hospital of Manteca complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status, or any other legally protected status. Doctors Hospital of Manteca will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
