Care Manager RN - Case Management

Provident Behavioral Health; Eureka (CA); On-site; USD 85,000 - 115,000; Full time

Job summary

Provident Behavioral Health is seeking a Care Manager RN to deliver effective case management for complex patients across the continuum, coordinating with medical staff and external resources to ensure optimal care.

The role requires strong communication, clinical assessment, and care coordination skills, with a focus on patient-centered care and collaboration across interdisciplinary teams.

Qualifications

• California RN with 2 years in Medical Surgical or Inpatient settings.
• At least 1 year of care management or utilization review experience or relevant training.
• Preferred: Bachelor's in Nursing and CCM/ACM certifications.

Responsibilities

• Communicates daily with medical staff, hospital personnel, and external resources to ensure appropriate resource utilization.
• Monitors medical records for variances to clinical and financial standards, intervening to optimize outcomes.
• Carries out clinical assessments and care coordination, ensuring compliance with standards.

Skills

Communication skills

Care coordination

Clinical assessment

Interdisciplinary collaboration

Education

Associate Degree in Nursing

California RN license

Bachelor's Degree in Nursing (preferred)

Job description

Role Overview

The Care Manager RN is responsible for delivering effective case management for complex patients by planning, coordinating, negotiating, procuring, and managing their care and needs across the continuum.

Role Overview

The Care Manager RN is responsible for delivering effective case management for complex patients by planning, coordinating, negotiating, procuring, and managing their care and needs across the continuum.

Key Responsibilities:

• Communicates daily with medical staff, hospital personnel, and external resources to ensure appropriate resource utilization.
• Monitors medical records for variances to clinical and financial standards, intervening to optimize patient and hospital outcomes.
• Carries out clinical assessments and care coordination, ensuring compliance with standards.

Qualifications & Skills

• Associate's Degree in Nursing or a nursing diploma, with a California RN license.
• Minimum of 2 years of acute care experience in Medical Surgical or Inpatient settings.
• At least 1 year of care management or utilization review experience, or completion of relevant training programs.
• Preferred: Bachelor's Degree in Nursing or higher, and certifications like CCM or ACM.

Key Attributes

• Strong communication, clinical assessment, and care coordination skills.
• Ability to collaborate with interdisciplinary teams and outside resources to ensure optimal patient outcomes.
• Commitment to patient-centered care and continuous improvement in healthcare delivery.