RN Case Manager Full Time Days

4 days ago


Manteca, California, United States Doctors Hospital of Manteca Full time
About the Role

We are seeking a skilled RN Case Manager to join our team at Doctors Hospital of Manteca. As a RN Case Manager, you will play a critical role in facilitating care along a continuum, ensuring that patients receive the right care at the right time.

Key Responsibilities
  • Accurate medical necessity screening and submission for Physician Advisor review
  • Care coordination and 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 and 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 and assuring patient education is completed to support post-acute needs
  • Timely complete and concise documentation in Case Management system and maintenance of accurate patient demographic and insurance information
  • Identification and documentation of potentially avoidable days and identification and reporting over and underutilization
Requirements
  • Graduate of an accredited school of nursing with an academic degree in nursing (bachelor's or master's)
  • 5 years of acute hospital patient care experience, with a preference for acute hospital case management experience
  • Current RN license and certification or registration to practice profession as required by law or regulation in state or practice or policy
What We Offer

Competitive salaries and benefits, including a 401(k) plan with a 50% match up to 6% of pay, employee stock purchase plan, flexible spending accounts, retirement readiness tools, rollover support, and financial well-being counseling. We also offer education support through tuition assistance, student loan assistance, certification support, and online educational programs.

About Us

Doctors Hospital of Manteca has provided superb clinical care to patients in the Central Valley of California for over 50 years. We strive to deliver these services with the highest level of clinical quality, with a sincere and humble appreciation for the critical role we play in the lives of our patients and our community.



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