Care Manager I (RN) - PD : Irvine Care Management

Primary Duties and Responsibilities

• Coordinate patients’ needs through the continuum of care, including pre-admission through post-discharge plans.
• Collaborate with physicians, nurses, clinical staff, and community agencies to identify and arrange for appropriate care.
• Review clinician assessments and patients’ financial, family, and psychosocial support to develop comprehensive care and/or discharge plans.
• May focus on specific aspects such as discharge planning, utilization review, and psychosocial support.
• Review records to assess appropriate admission status, level of care, payer source, and UR contracts to validate billing.
• Provide psychodynamic intervention and crisis counseling to support patients and families.
• Educate patients and families on their healthcare options and connect them with resources.
• Document pertinent patient issues, contacts, and plans in the medical records.
• Act as a mandated reporter for elder, child, and spousal abuse.
• Support the high-risk, homeless, and mental health population in the Community Care role.
• Perform other duties as assigned.

Qualifications

• Fulfills mandatory stroke education requirements per certification agency.
• Positions Requirements Depend On Licensure And Are As Follows:
• Care Manager (RN) – Bachelor’s degree in Nursing (BSN) required.
• Care Manager (RN)s at Magnet designated facilities only require a BSN or that a BSN program is started within one year of hire date and BSN degree is attained within two years of the starting the BSN program.
• One year of experience in an acute health care setting preferred.
• Licenses Required: Registered Nurse (RN) license - for Care Manager I (RN) position.