RN Care Manager Emergency Room PD Nights
On-sitePico Rivera, California, United States
Job Summary
Coordinate patient care progression and discharge planning across the ER continuum, managing length of stay and resource utilization to ensure medical necessity. Facilitate precertification, payor authorization, and collaborative management with physicians while assessing psychosocial, financial, and physical barriers to care. Develop individualized transition plans for acute, subacute, and home settings, engaging families and interdisciplinary teams to resolve system obstacles impeding discharge. Monitor readmission risks, coordinate durable medical equipment, and advocate for effective care progression while maintaining communication with providers, payers, and Patient Financial Services.
Required Qualifications
- Bachelor of Science degree in nursing
- Minimum of one (1) to three (3) years of hospital or related experience
- Internals with at least 18 months acute care case management/coordination 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
Desired Qualifications
- Bilingual language skills preferred (Spanish)
- Basic computer skills
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