Care Management Professional

1 month ago


Oakland, California, United States Alameda Health System Full time

**Job Summary:**

We are seeking a skilled Care Management Professional to join our team at the Alameda Health System. In this role, you will be responsible for coordinating continuum of care and discharge planning activities for a caseload of assigned patients.

**Responsibilities:**

  • Coordinates all utilization review functions, including response to payor requests for concurrent and retrospective review information.
  • Ensures clinical interventions are appropriate for the admitting diagnosis and Level of Care that reflects the standard of care.
  • Takes appropriate action when cases do not meet criteria.
  • Develops, evaluates, and coordinates a comprehensive discharge plan in conjunction with the patient/family, physician, nursing, social work, and other healthcare providers and agencies.

**Requirements:**

  • Associate Degree in Nursing; Bachelor's or Master's degree in Nursing preferred.
  • Three years of acute care nursing experience; medical/surgical or critical care experience a plus.
  • Active licensure as a Registered Nurse in the State of California; Basic Life Support Certification required.

**Salary and Benefits:**

The estimated salary for this position is $85,000-$110,000 per year, depending on experience. We offer a competitive benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off.

**Why Join Us?**

At the Alameda Health System, we value our employees and strive to create a positive work environment. If you are passionate about delivering exceptional patient care and have a commitment to excellence, we encourage you to apply for this opportunity.



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