RN Case Manager, RN I LAK-0

1 month ago

Lakewood, United States University Of California Irvine Full time
Job Summary

The University of California, Irvine is seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will be responsible for coordinating patient care activities to conform to evidence-based practice and/or regulatory/payor requirements.

Responsibilities
  • Coordinate care and plan for discharge needs and arrangements, including leading multidisciplinary discharge planning teams and assessing patients for discharge planning needs.
  • Review utilization patterns and refer complex social issues to social work.
  • Manage concurrent denials and coordinate weekly Complex Case Review.
  • Collect clinical process and outcomes data, including Ecare.
  • Communicate with patients and their families around plan of care and assist with physician documentation.
  • Arrange for patient education and communicate with physicians, their office staff, and staff of ancillary departments.
  • Assist with ensuring accuracy of patient demographic and insurance information and make referrals to other departments as needed.
Qualifications
  • Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties.
  • Must demonstrate customer service skills appropriate to the job.
  • Excellent written and verbal communication skills in English.
  • Ability to maintain a work pace appropriate to the workload.
  • Ability to establish and maintain effective working relationships across the Health System.
Mandatory
  • Current CA RN license.
  • Conversant knowledge and experience with case management, care coordination, and/or utilization review.
  • Demonstrate the ability to collaborate with physicians.
  • Ability to lead and coordinate activities of a diverse group of people.
Physical Requirements
  • Position involves standing and walking for long periods of time, approximately 75% of the workday.
  • Must have dexterity, coordination, and visual and auditory acuity to perform all job responsibilities.
  • Must be able to communicate effectively, both verbally and in writing.
  • Must be free from signs of illness and infections.

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