Care Manager

2 weeks ago


San Diego, California, United States Scripps Health Full time
About the Role

We are seeking a highly skilled and compassionate Care Manager to join our Systemwide Resource Services team at Scripps Health. As a key member of our team, you will play a vital role in ensuring the delivery of high-quality patient care across our five hospitals and Central Transfer Center.

Your primary responsibility will be to screen patients in your assigned caseload to identify those who may require additional support or resources. You will work closely with the healthcare team and patients/families to address any issues that may impact their care and develop a transition plan of care based on their needs.

Key Responsibilities
  • Screen patients to identify those who may be medically vulnerable or require additional support
  • Coordinate with the healthcare team and patients/families to address issues that may impact care
  • Develop a transition plan of care based on patient needs
Requirements

To be successful in this role, you will need:

  • 2+ years of clinical experience
  • 1-2 years of inpatient case management experience
  • Excellent verbal and written communication skills
  • Ability to independently utilize critical thinking skills, nursing judgment, and decision-making skills
  • Ability to prioritize, plan, and handle multiple tasks simultaneously
  • Ability to read, analyze, and interpret information in medical records and health plan documents
Preferred Qualifications

We prefer candidates with:

  • Bachelor of Science in Nursing (BSN)
  • Case management certification
  • Knowledge of utilization management, including experience managing prior-authorization and concurrent review
  • Knowledge of Medicare and Commercial health plans
About Scripps Health

Scripps Health is a leading healthcare organization in San Diego, recognized for our commitment to quality patient care and innovative healthcare solutions. As a member of our team, you will have the opportunity to work with a highly engaged inter-disciplinary team and contribute to our mission of delivering exceptional patient care.


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