(RN) Care Manager - Hillcrest - 140038

About the role

The RN Care Manager facilitates patient hospitalization from pre-admission through discharge. They coordinate with physicians, nurses, social workers, and other healthcare providers to ensure medically appropriate and cost-effective care. The role involves applying clinical expertise and medical appropriateness criteria to resource utilization and discharge planning.

Responsibilities

• Facilitate patient hospitalization from pre-admission through discharge.
• Coordinate with physicians, nurses, social workers, and other healthcare providers to expedite care.
• Apply clinical expertise and medical appropriateness criteria to resource utilization and discharge planning.
• Communicate with administration and the healthcare team as needed to facilitate patient care.

Requirements

• Graduate from an accredited school of Nursing.
• Registered Nurse (RN) license issued by the State of California.
• BLS at time of hire with commitment to get BART within six (6) months of hire date.
• Minimum of 3 years prior inpatient RN care manager experience in an acute care hospital, or a minimum of 3 years of inpatient RN experience in the acute care hospital setting, or a minimum of 3 years combined inpatient RN care manager and inpatient RN experience in the acute care hospital setting, within the last 7 years.
• Demonstrated utilization review/discharge planning experience.
• Strong interpersonal skills, leadership, negotiation skills, and knowledge of hospital operations.
• Proven experience and proven skills in conflict management and resolution.
• Proficiency in information systems, databases, and programs including MS Office: Word, Excel, Outlook, and PowerPoint, etc.
• Must have fast and accurate typing and data entry skills.

Qualifications

• Bachelor of Science in Nursing (BSN) or Master of Science in Nursing (MSN).
• ACM and/or CCM certificate.
• Three to five (3 - 5) years clinical RN experience in an acute care setting.
• UCSD RN experience; Med/Surg, PCU, ED preferred.
• Previous supervisory/management experience.
• Experience with Epic, ECIN, InterQual.
• Knowledge of payer industry, resource management, reimbursement, and evidence-based clinical practice.

Skills

• Strong interpersonal skills.
• Leadership and negotiation skills.
• Knowledge of hospital operations.
• Utilization review/discharge planning experience.
• Information systems, databases, and MS Office proficiency.
• Fast and accurate typing and data entry skills.
• Supervisory/management experience.
• Experience with Epic, ECIN, InterQual.
• Knowledge of payer industry, resource management, reimbursement, and evidence-based clinical practice.

Benefits

UC San Diego offers competitive benefits including health insurance, retirement plans, and paid time off.

Pay

The annual full pay range is $153,466 - $202,433 per year. The hourly equivalent is $73.50 - $96.95.

Schedule

This position works days, 8-hour shifts, Monday-Friday, rotating weekends, and holidays.