Registered Nurse Case Manager I

2 weeks ago

Placentia, California, United States University Of California Irvine Full time
About Us

University of California, Irvine Health serves as the clinical arm of the University of California, Irvine, and stands as the sole academic health system in Orange County. UCI Health encompasses its primary campus, UCI Medical Center, a 459-bed acute care facility located in Orange, California, along with four additional hospitals and a network of affiliated physicians across Orange and Los Angeles counties, complemented by various outpatient care centers throughout the area. Recognized among America's Best Hospitals by U.S. News & World Report for over two decades, UCI Medical Center offers specialized tertiary and quaternary care and is home to Orange County's exclusive National Cancer Institute-designated comprehensive cancer center, a high-risk perinatal/neonatal program, and an American College of Surgeons-verified Level I adult and Level II pediatric trauma center, as well as a gold level geriatric emergency department and regional burn center. UCI Health caters to a population of nearly 4 million residents in Orange County, western Riverside County, and southeast Los Angeles County.

To explore more about UCI Health, please visit our website.

Your Role

Position Overview:

The RN Case Manager plays a crucial role in facilitating patient care throughout the healthcare continuum by effectively coordinating resources to help patients attain optimal health outcomes, ensuring access to necessary services, and utilizing resources appropriately while respecting the patient's autonomy. This position holds the primary responsibility for guaranteeing that care is delivered at the correct level based on medical necessity, while also assessing patients for transition needs to encourage timely care progression, safe discharges, and the prevention of avoidable readmissions. The role integrates national standards for case management services, which include:
  • Utilization Management to support medical necessity and prevent denials
  • Transition Management to ensure appropriate lengths of stay, prevent readmissions, and enhance patient satisfaction
  • Care Coordination to demonstrate efficiency in throughput while ensuring care is sequenced correctly and delivered at the appropriate level
  • Adherence to state and federal regulations, TJC accreditation standards, and institutional policies
  • Providing education to physicians, patients, families, and caregivers
The responsibilities of this role encompass the following activities: a) conducting accurate medical necessity screenings and submitting for Physician Advisor review, b) coordinating care, c) assessing and reassessing transition planning, d) implementing or overseeing the transition plan, e) leading and facilitating multidisciplinary patient care meetings, f) managing concurrent disputes, g) making appropriate referrals to other departments, h) identifying and referring complex cases to Social Work Services, i) communicating with patients and families regarding the care plan, j) collaborating with physicians, office staff, and ancillary departments, k) leading and facilitating Complex Case Reviews, l) ensuring patient education is completed to support post-acute needs, m) maintaining timely and concise documentation in the Case Management system, n) keeping accurate patient demographic and insurance information, o) identifying and documenting potentially avoidable days, p) reporting on over and underutilization, q) and other assigned duties.

Qualifications for Success

Compensation and Benefits:

UCI Health offers a comprehensive benefits package designed to enhance the work experience. Benefits may include medical insurance, paid sick and vacation time, retirement savings plans, and access to various discounts and perks. For more information about our compensation practices and benefits, please refer to our resources.

Required Qualifications:
  • An active Registered Nurse license with a minimum of two years of acute hospital patient care experience is required. A Bachelor of Science in Nursing (BSN) is preferred. Accreditation as a Case Manager (ACM) is also preferred, along with experience in acute hospital case management.
  • 1-2 years of prior experience in case management is required.
  • Essential skills include strong organizational abilities, excellent verbal and written communication skills, the capacity to lead and coordinate activities among diverse groups in a fast-paced environment, critical thinking, problem-solving skills, and proficiency in computer usage.

    Ability to establish and maintain effective working relationships across the health system.

    Ability to maintain a work pace that aligns with workload demands.

    Demonstrated customer service skills appropriate for the role.

    Excellent written and verbal communication skills in English.

    Possession of the skills, knowledge, and abilities essential for successful performance in assigned duties.
Preferred Qualifications:
  • Familiarity with university and medical center organizations, policies, procedures, and forms.
Employment Conditions:

The University of California, Irvine is committed to providing a safe and healthy environment for its community. As part of this commitment, all applicants who accept an employment offer must comply with the following conditions:
  • Background Check and Live Scan
  • Legal Right to Work in the United States
  • Compliance with Vaccination Policies
  • Adherence to Smoking and Tobacco Policy
  • Commitment to a Drug-Free Environment
Additional conditions may apply, depending on specific business unit or job requirements:
  • Compliance with the California Child Abuse and Neglect Reporting Act
  • E-Verify
  • Pre-Placement Health Evaluation
Details of each policy can be reviewed on our website.

Equal Opportunity Statement:

The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.

We are dedicated to attracting and retaining a diverse workforce while honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain inclusive, equitable, and welcoming working and learning environments.

UCI provides reasonable accommodations for applicants with disabilities upon request.

  • Registered Nurse Case Manager I

    2 weeks ago

    Placentia, California, United States University Of California Irvine Full time

    About Us University of California, Irvine Health is a leading academic health system located in Orange County, providing comprehensive healthcare services through its main campus and affiliated facilities. Recognized among the top hospitals in the nation, UCI Health is dedicated to delivering exceptional patient care across a diverse population. Your Role...

  • Registered Nurse Case Manager I

    2 weeks ago

    Placentia, California, United States University Of California Irvine Full time

    About Us University of California, Irvine Health is a premier academic health system located in Orange County, recognized for its excellence in patient care and innovative medical practices. Our network includes a 459-bed acute care hospital and several affiliated facilities, providing comprehensive health services to a diverse population. Your Role Position...

  • Critical Care Nurse

    17 hours ago

    Placentia, California, United States AMN Healthcare Full time

    Job SummaryAs a Critical Care Nurse with AMN Healthcare, you will play a vital role in providing high-quality patient care in a hospital setting. Our team of experienced professionals is dedicated to delivering exceptional patient outcomes, and we are seeking a skilled and compassionate nurse to join our team.ResponsibilitiesMonitor patients' vital signs and...

  • Risk Management Specialist

    7 days ago

    Placentia, California, United States University Of California Irvine Full time

    Job SummaryThe University of California, Irvine is seeking a highly skilled Risk Management Specialist to join our team. As a key member of our organization, you will play a critical role in implementing medical center-wide risk management and loss-prevention programs.Key ResponsibilitiesConduct thorough investigations of adverse patient events/outcomes and...

  • Risk Management Specialist

    1 week ago

    Placentia, California, United States University Of California Irvine Full time

    Job SummaryThe University of California, Irvine is seeking a highly skilled Risk Management Specialist to join our team. As a key member of our clinical enterprise, you will play a vital role in implementing medical center-wide risk management and loss-prevention programs.Key ResponsibilitiesConduct thorough investigations of adverse patient events/outcomes...

  • Community Operations Manager for Affordable Housing

    2 weeks ago

    Placentia, California, United States Solari Enterprises, Inc. Full time

    Job OverviewPosition SummaryVilla La Jolla, a family-oriented housing community, consists of 55 units and is seeking a dedicated Community Operations Manager. This role involves overseeing all aspects of community management under the guidance of the Regional Manager. Responsibilities include general administration, maintenance oversight, staff direction,...

  • Physical Therapy Assistant

    2 days ago

    Placentia, California, United States Kaiser Permanente Full time

    Job Summary:Kaiser Permanente is seeking a skilled Physical Therapy Assistant to join our team in a dynamic and patient-centered environment.Key Responsibilities:Supervise the delivery of physical therapy services and patient care within a designated unit, ensuring seamless integration with business and department plans.Ensure that patient care and quality...

  • Paraprofessional Educator

    2 days ago

    Placentia, California, United States ProCare Therapy Full time

    Job OverviewWe are seeking a dedicated and experienced Paraprofessional to join our team at ProCare Therapy. This is a full-time position that requires a minimum of 1+ years of experience in paraprofessional or special education.Key ResponsibilitiesProvide support to students with mild, moderate, and severe cases of special needsWork collaboratively with...

  • Water Distribution Specialist

    4 days ago

    Placentia, California, United States Golden State Water Company Full time

    Job SummaryGolden State Water Company is seeking a highly skilled and motivated Water Distribution Operator I to join our team. As a key member of our operations team, you will be responsible for ensuring the safe and efficient delivery of water to our customers.Key ResponsibilitiesLearns to perform various tasks associated with the maintenance and operation...

  • Youth Development Specialist

    4 days ago

    Placentia, California, United States Placentia-Yorba Linda Unified Full time

    Job SummaryWe are seeking a dedicated and compassionate Early Childhood Education Professional to join our team at Placentia-Yorba Linda Unified School District. As a Child Care Teacher I, you will play a vital role in providing a safe and nurturing environment for our students, promoting their cognitive, social, and emotional development.Key...

  • Physical Therapist 54-68 per hour

    4 weeks ago

    Placentia, California, United States Kaiser Permanente Full time

    Kaiser Permanente is seeking a Physical Therapist for a job in Placentia, California. & RequirementsSpecialty: Physical TherapistDiscipline: TherapyDuration: Ongoing40 hours per weekShift: 8 hours, daysEmployment Type: StaffJob Summary:Responsible for the physical therapy management of patients. Will report to Director, Assistant Director and/or Clinical...

  • Registered Nurse, Float Pool

    4 days ago

    Placentia, United States Wound Care Advantage LLC Full time

    Job DescriptionJob DescriptionDo you want...To make a difference in saving lives?Work-Life Balance?The chance to grow professionally?If so, Wound Care Advantage is the place to be! We are currently looking to hire a FULL-TIME FLOATING REGISTERED NURSE / RN with the ability and willingness to travel and provide support to surrounding southern CA clinics, with...

  • Emergency Room Nurse

    3 months ago

    Placentia, United States Nursefinders Full time

    Job Details ER RN’s treat patients in emergency situations where they are experiencing trauma or injury. They quickly recognize life-threatening problems and are trained to help solve them on the spot. ER RN’s treat a variety of conditions from sore throats to heart attacks for patients of all ages and backgrounds. They will stabilize patients...

  • Registered Nurse

    2 hours ago

    Placentia, California, United States University of California, Irvine Full time

    Job SummaryWe are seeking a highly skilled Registered Nurse to join our team in the Critical Care Unit at the University of California, Irvine. As a critical care nurse, you will be responsible for providing high-quality patient care to critically ill patients and their families.ResponsibilitiesConduct thorough nursing assessments and develop individualized...

  • Telemetry Nurse

    3 months ago

    Placentia, United States Nursefinders Full time

    Job Details Telemetry RN’s monitor patients’ vital signs by reading and analyzing an electrocardiogram, or another life sign-measuring device. Tele RN’s are required for post-ICU care. Tele RN’s monitor critically ill patients: most are cardiac cases. Tele RN’s typically work in a hospital setting. Tele RN’s care for patients who are out of...

  • Area Health Information Specialist I

    3 months ago

    Placentia, United States Ciox Health Full time

    Overview Who we are... Datavant protects, connects, and delivers the world’s health data to power better decisions and advance human health. We are a data logistics company for healthcare whose products and solutions enable organizations to move and connect data securely. Datavant has a network of networks consisting of thousands of...

  • Dental Practice Administrative Manager

    2 months ago

    Placentia, United States Lollipop Pediatric Dentistry & Orthodontics Full time

    Title: Dental Administrative ManagerReports To: Regional Manager & CEOThe Dental Administrative Manager is responsible for overseeing the administrative functions of a dental practice. This role ensures smooth daily operations, coordinates patient scheduling, manages staff, and handles financial transactions. The ideal candidate will have excellent...

  • Registered Nurse

    2 days ago

    Placentia, California, United States University of California, Irvine Full time

    Job SummaryWe are seeking a highly skilled Registered Nurse to join our team at the University of California, Irvine. As a Registered Nurse in our Angiographic Diagnostic Evaluation unit, you will be responsible for providing individualized care to patients requiring angiographic diagnostic evaluation and possible intervention.Key ResponsibilitiesAssess...

  • Flexible Schedule For Loving Home Care Aide

    1 month ago

    Placentia, United States Right At Home Full time

    IMPORTANT for YOU:  We have strict Covid-19 protocols in place for your safety!  Right at Home provides non-medical home care in client’s homes.  This may include bathing them, helping them dress, meal preparation, medication reminders, companionship (taking walks together, playing games, gardening).  We also may drive clients to a doctor’s...

  • Family Practice/Primary Care Nurse Practitioner

    3 days ago

    placentia, United States Ascend Medical Staffing Full time

    DocCafe has an immediate opening for the following position: Family Practice/Primary Care Nurse Practitioner in Placentia, California. Make $100/hourly.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career. Register now to apply for this job and for access to 125,000+ other openings. DocCafe Offers: Free...

  • Cashier - Store #34 PT

    3 months ago

    Placentia, United States Northgate Markets Full time

    ** Cashier - Store #34 PT** **Job Category****:** Front End **Requisition Number****:** CASHI10322 Showing 1 location **Job Details** **Description** Our first store opened on January 2nd, 1980 in Anaheim CA and since then we have grown to 41 stores in four counties: Los Angeles, Orange, San Diego and Riverside. We offer our customers a full service...

  • Flexible Schedule For Loving Home Care Aide

    1 month ago

    Placentia, United States Right at Home Central Orange County, CA Full time

    Job DescriptionJob DescriptionIMPORTANT for YOU: We have strict Covid-19 protocols in place for your safety!Right at Home provides non-medical home care in clients homes. This may include bathing them, helping them dress, meal preparation, medication reminders, companionship (taking walks together, playing games, gardening). We also may drive clients to a...

  • Health Information Specialist I

    3 days ago

    Placentia, California, United States Datavant Full time

    About the RoleWe are seeking a highly organized and detail-oriented Health Information Specialist I to join our team at Datavant. As a key member of our data protection and release team, you will be responsible for processing medical record requests in a timely and efficient manner, ensuring accuracy and providing exceptional customer service.Key...

  • Family Practice/Primary Care Nurse Practitioner

    3 months ago

    Placentia, United States DocCafe Full time

    DocCafe has an immediate opening for the following position: Nurse Practitioner - Family Practice/Primary Care in Placentia, California.Make 100.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.----------------Register now to apply for this job and for access to 120,000+ other openings.DocCafe...

  • Affordable Housing Community Manager

    3 months ago

    Placentia, United States Solari Enterprises, Inc. Full time

    Job DescriptionJob DescriptionPosition OverviewVilla La Jolla, located in Placentia, CA is a Family housing community comprised of 55 units. The Community Manager is responsible, under the supervision of the Regional Manager, for all operations at the community, including, but not limited to, general administration, maintenance, directing on-site personnel,...

  • Center Medical Director

    1 month ago

    Placentia, United States Concentra Full time

    Job DescriptionJob DescriptionOverviewOrange County one of California’s safest places to live, offers miles of beaches, a rich diverse culture, and near perfect climate. Enjoy an outdoor lifestyle, family-friendly activities, and top rated dining and entertainment! It is the perfect environment to enjoy Concentra’s work life Balance. We look forward to...

  • Center Medical Director

    4 days ago

    Placentia, United States Concentra Full time

    Job DescriptionJob DescriptionOverviewOrange County one of California’s safest places to live, offers miles of beaches, a rich diverse culture, and near perfect climate. Enjoy an outdoor lifestyle, family-friendly activities, and top rated dining and entertainment! It is the perfect environment to enjoy Concentra’s work life Balance. We look forward to...

  • Physical Therapy Assistant

    4 weeks ago

    Placentia, United States Kaiser Permanente Full time

    Kaiser Permanente is seeking a Physical Therapy Assistant for a job in Placentia, California.Job Description & RequirementsSpecialty: Physical Therapy AssistantDiscipline: TherapyDuration: Ongoing32 hours per weekShift: 8 hours, nightsEmployment Type: StaffJob Summary:For one large unit or more than one smaller unit within a 24 hour department, supervises...

  • Full Time Head Cashier

    1 month ago

    Placentia, United States Westlake Hardware Full time

    About Westlake Ace Hardware Ace Retail Holdings, the division of Ace Hardware Corporation that owns and operates the Westlake Ace Hardware chain, is one of the largest hardware retailers in the United States. Headquartered in Lenexa, Kansas, Westlake Ace Hardware has been in operation for over a century and operates over 150 neighborhood stores located...

  • Chief Maintenance

    2 days ago

    Placentia, United States Marriott International, Inc Full time

    Additional Information Pay: $37.70/hourJob Number 24153555Job Category Engineering & FacilitiesLocation Residence Inn Anaheim Placentia/Fullerton, 700 W. Kimberly Avenue, Placentia, California, United States VIEW ON MAPSchedule Full-TimeLocated Remotely? NRelocation? NPosition Type Non-Management POSITION SUMMARY   Install, maintain, perform preventative...

  • Chief Maintenance

    3 days ago

    Placentia, United States Marriott International, Inc Full time

    Additional Information Pay: $37.70/hourJob Number 24153555Job Category Engineering & FacilitiesLocation Residence Inn Anaheim Placentia/Fullerton, 700 W. Kimberly Avenue, Placentia, California, United States VIEW ON MAPSchedule Full-TimeLocated Remotely? NRelocation? NPosition Type Non-Management POSITION SUMMARY   Install, maintain, perform preventative...