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RN Case Manager Full Time Days

1 month ago

Manteca, California, United States Doctors Hospital of Manteca Full time
Job Title: RN Case Manager Full Time

Welcome to Doctors Hospital of Manteca, a leading healthcare provider in the Central Valley of California. We are seeking a highly skilled and compassionate RN Case Manager to join our team.

About the Role:

The RN Case Manager will play a critical role in facilitating care along a continuum, ensuring that patients receive the right level of care at the right time. This involves effective resource coordination, patient education, and collaboration with physicians, office staff, and ancillary departments.

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 completion and concise documentation in Case Management system
  • Maintenance of accurate patient demographic and insurance information
  • Identification and documentation of potentially avoidable days and identification and reporting over and underutilization
Qualifications:
  • 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 acute hospital case management experience preferred
  • Current RN license for state(s) covered and active RN license for state(s) covered
  • Accredited Case Manager (ACM) certification preferred
Benefits:

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. Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health, and telemedicine services. Wellbeing support, including employee assistance program (EAP). Time away from work programs for paid time off, long- and short-term plan coverage. Education support through tuition assistance, student loan assistance, certification support, and online educational programs. Additional benefits, including life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection, and employee discount program.

Registered nurses are eligible for a Retirement Medical Benefit Account (RMBA) with 2% of annual eligible income set aside in accordance with program guidelines. Benefits may vary by location and role.