This position will remain open until a successful candidate has been identified.
Under general supervision, Case Manager, is responsible for facilitating the patient's hospitalization from pre admission through discharge. The Case Manager coordinates with physicians, nurses, social workers and other healthcare providers to expedite medically appropriate cost effective care. The case manager applies clinical expertise and medical appropriateness criteria to resource utilization and discharge planning. The case manager will communicate with administration and the healthcare team as needed to facilitate patient care.
A professional degree in healthcare discipline.
Registered Nurse (RN) issued by the state of California.
BART or BLS at time of hire with commitment to get BART within six (6) months of hire date.
Background in case management, utilization review, discharge planning, homecare or managed care.
Proficiency in Information Systems and computer programs such as Word, Excel, etc.
General knowledge of payer industry, resource management, reimbursement, and evidence-based clinical practice is essential.
Must possess strong interpersonal skills, leadership, negotiation skills, good leadership talent, and knowledge of hospital operations.
Strong skills in conflict management and resolution.
ACM and/or CCM certificate.
At least three and half years acute care setting or clinical experience.
Typing and data entry skills.
Must be able to work various hours and locations based on business needs.
Employment is subject to a criminal background check and pre-employment physical.
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