RN Care Manager Emergency Room PD Nights
On-siteWhittier, California, United States
Job Summary
Conduct comprehensive assessments of patient psycho-social, cultural, spiritual, and physical needs to identify intervention opportunities. Coordinate care progression and discharge transitions by facilitating precertification, payor authorization, and transfers to acute or post-acute venues. Collaborate with physicians, interdisciplinary teams, and community providers to resolve barriers to timely care and ensure safe patient outcomes. Evaluate case management plans and monitor readmissions and cost-effectiveness while adhering to CMS Conditions of Participation and hospital core values.
Required Qualifications
- Bachelor of Science degree in nursing preferred
- Minimum of one (1) to three (3) years of hospital or related experience required
- Internals with at least 18 months acute care case management/coordination experience will be considered in lieu of nursing clinical experience
- Able to navigate and connect successfully with outside provider networks (Health Plans, IPA's, and FQHC's)
- Current California Nursing license
- Current Basic Life Support (BLS)
- Certification in Case Management preferred
- Must complete annual Workplace Violence Prevention Program/Certificate, per hospital policy, during initial training/orientation but not to exceed 90 days from hire/transfer
Desired Qualifications
- Bilingual language skills preferred (Spanish)
- Basic computer skills
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