RN Case Manager Full Time Days

6 hours 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.

Responsibilities
  • Accurate medical necessity screening and submission for Physician Advisor review
  • Care coordination
  • 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
  • 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
  • Assuring patient education is completed to support post-acute needs
  • Timely complete and concise documentation in Case Management system
  • Maintenance of accurate patient demographic and insurance information
  • Identification and documentation of potentially avoidable days
  • Identification and reporting over and underutilization
Requirements
  • Graduate of an accredited school of nursing
  • Academic degree in nursing (bachelor's or master's)
  • 5 years of acute hospital patient care experience
  • RN licensure
Preferred Qualifications
  • Acute hospital case management experience
  • Accredited Case Manager (ACM) certification
What We Offer

We offer a competitive salary and benefits package, including a 401(k) plan, health and dental insurance, and tuition assistance. We are an equal opportunity employer and welcome applications from diverse candidates.



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