SRS – Case Manager – RN – Per Diem – Variable Shift

What You Will Do

The SRS RN CM II assesses, develops, implements, coordinates and monitors a comprehensive plan of care for each patient/family in collaboration with the physician, social worker and all members of the interdisciplinary team in the inpatient and emergency department patient care areas.

This position requires the ability to combine clinical/quality considerations with regulatory/financial/utilization review demands to assure patients are receiving care in the appropriate setting and level of care.

The position creates a balance between individual clinical needs with the efficient and cost effective utilization of resources while promoting quality outcomes.

Required Qualifications

• Bachelor's Degree in Nursing
• 3 Years acute care nursing experience or case management experience
• 3 Years recent case management, utilization review, care coordination experience
• California Registered Nurse (RN) - CA Board of Registered Nursing - REQUIRED

Preferred Qualifications

• Master's Degree in Nursing
• Certified Case Manager (CCM) - Commission for Case Manager Certification - PREFERRED

Essential Functions

• Professional development
• Core principles
• Care coordination and discharge planning
• Utilization review and utilization management
• Leadership, mentorship

Knowledge, Skills, And Abilities

• Advanced PC, data management and analysis skills required
• Understanding and knowledge of payer eligibility and reimbursement regulations and impact on the continuum of care
• Knowledge of use of community resources to coordinate safe discharges from acute care and the ED settings
• Excellent interpersonal skills, as demonstrated by the ability to work effectively with individuals and or teams, and across disciplines
• Excellent communication and negotiation skills as demonstrated in oral and written forms
• Ability to work in a collaborative partnership model with Social Workers and other members of the interdisciplinary team, both internal and external
• Organizational and time management skills, as evidenced by capacity to prioritize multiple tasks
• Ability to mentor and lead a team