Care Manager - Central Placement Center - Hybrid/Miramar - Casual/Per-Diem

About the role

This is a casual/per-diem position with a 12-hour varied schedule primarily being evening shifts 7pm to 7am or 3pm to 3am. Weekend requirements are one day every other week and holidays are rotated. This position is hybrid, being remote most of the time. There are on-site requirements for one week each quarter.

Responsibilities

• Coordinate safe, efficient patient transfers across the Scripps Health system.
• Achieve timely access to services and systemwide quality by serving as a key communication link between referring providers, internal departments, and receiving units.
• Screens patients in their assigned caseload to identify those that are medically vulnerable, who may have needs that may be addressed at another location; or within contracted programs/vendors specific to their needs/health plan.
• Collaborate with the health care team and the patient/family to address issues that may impact their care, and to develop a transition plan of care based on the patients' needs.

Requirements

Must be local to San Diego. Must be able to travel to on-site locations one week each quarter.

Qualifications

• Bachelor of Science in Nursing (BSN) highly desired.
• Case management certification is highly preferred.
• EPIC experience preferred.
• Demonstrate knowledge of utilization management including experience managing prior-authorization and concurrent review.
• Knowledge of Medicare and Commercial health plans.
• 3+ years of managed care and/or case management experience.
• Strong computer skills that can easily adapt to using multiple different programs.
• Prior experience in ICU/Critical Care, PCU, ER, preferred.

Skills

• Bachelor of Science in Nursing (BSN)
• Case management certification
• EPIC experience
• Utilization management experience
• Knowledge of Medicare and Commercial health plans
• Managed care and/or case management experience
• Strong computer skills
• Prior experience in ICU/Critical Care, PCU, ER

Benefits

Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.

Pay

$59.81-$86.71/hour*

*Position Pay Range: Actual pay will vary based on experience and qualifications.