(RN) Care Manager - Per Diem - Care Management - 140600

UC San Diego Health is a Magnet designated organization, recognized for nursing excellence and based on strengths in transformational leadership, structural empowerment, exemplary professional practice, new knowledge, innovation, and empirical outcomes. Our Care Managers are essential members of the healthcare team, positively impacting patient and organizational outcomes at this tertiary-level acute hospital.

About the role

The RN Care Manager facilitates the patient's hospitalization from pre-admission through discharge, coordinating with physicians, nurses, social workers, and other healthcare providers to expedite medically appropriate, cost-effective care. This role applies clinical expertise and medical appropriateness criteria to resource utilization and discharge planning, communicating with administration and the healthcare team as needed.

Responsibilities

• Facilitate patient hospitalization from pre-admission through discharge.
• Coordinate with physicians, nurses, social workers, and other healthcare providers to ensure medically appropriate and cost-effective care.
• Apply clinical expertise and medical appropriateness criteria to resource utilization and discharge planning.
• Communicate with administration and the healthcare team to facilitate patient care.
• Demonstrate understanding of patient flow and transitions to post-acute care and community-based services.

Requirements

• Graduate from an accredited school of Nursing.
• Registered Nurse (RN) license issued by the State of California.
• BLS certification at time of hire, with commitment to obtain BART within six months.
• Minimum of 3 years acute care management experience.
• Demonstrated utilization review and discharge planning experience.
• Proficiency in Epic and CarePort.
• Effective interpersonal communication, negotiation, leadership, and conflict management skills.
• Ability to thrive in a fast-paced, dynamic environment with a commitment to professional growth and ongoing departmental performance improvement.
• Proficiency in information systems, databases, and programs including MS Office (Word, Excel, Outlook, PowerPoint).
• Fast and accurate typing, data entry skills, and proficiency with detailed written communication for electronic medical records.

Preferred Qualifications

• BSN/MSN.
• ACM and/or CCM certification.
• Med/Surg, progressive care, or ED clinical RN experience.
• UCSD RN experience or RN experience in another academic medical center.
• Previous supervisory or management experience.
• RN experience in post-acute care facility or home health agency.
• Proficiency with Epic, ECIN (Allscripts), and/or Utilization Review/InterQual.
• Knowledge of local payers, coverage, reimbursement, and evidence-based clinical nursing practice.

Special Conditions

• Ability to work various hours and locations based on business needs.
• Must work at least four 8-hour shifts in a 4-week scheduled period, including a minimum of one weekend shift.
• Employment is subject to a criminal background check and pre-employment physical.

Pay

Hourly pay: $91.52. Annual full pay range: $191,094 (prorated if appointment percentage is less than 100%). Factors determining compensation include experience, skills, knowledge, abilities, education, licensure, certifications, and organizational needs.

Schedule

• Per Diem appointment at 20%.
• Days, 8-hour shifts, Monday through Friday, with some weekends and holidays.