Care Manager RN - Per Diem

Provident Behavioral Health; McKinleyville (CA); On-site; USD 90,000 - 115,000; Part time

Job summary

Provident Behavioral Health in California seeks an on-site Care Manager RN to coordinate, plan, and manage care for complex patients across the continuum, communicating with medical staff and external providers to optimize outcomes and resource use.

The role requires California RN license, 2+ years acute care (Medical-Surgical or Inpatient), 1 year care management or utilization review experience, with a preference for a Bachelor's in Nursing within 3 years and CCM/ACM certifications.

Qualifications

• Associate's Degree in Nursing or a nursing diploma, with a valid California RN license.
• At least 2 years of acute care experience in Medical-Surgical or Inpatient settings.
• Minimum 1 year of care management or utilization review experience, or completion of relevant training programs.
• Preferred: Bachelor's Degree in Nursing within 3 years and certifications like CCM or ACM.

Responsibilities

• Perform case management functions for complex patients and their families.
• Coordinate care, negotiate resources, and monitor clinical and financial standards.
• Collaborate with medical teams and external providers to ensure optimal patient care.
• Review medical records for variances and intervene to improve outcomes.

Skills

California RN license

Acute care experience

Care management

CCM/ ACM certifications

Education

Associate's Degree in Nursing

Nursing diploma

Bachelor's Degree in Nursing (preferred within 3 years)

Job description

Role Overview

The Care Manager RN is responsible for delivering effective case management for complex patients by coordinating, planning, negotiating, and managing their care across the continuum. They communicate daily with medical staff, hospital personnel, and external resources to ensure appropriate utilization of resources aligned with clinical and financial standards. The role involves monitoring medical records for variances and intervening to optimize patient outcomes and hospital efficiency.

Qualifications & Skills

• Associate's Degree in Nursing or a nursing diploma, with a valid California RN license.
• At least 2 years of acute care experience in Medical-Surgical or Inpatient settings.
• Minimum 1 year of care management or utilization review experience, or completion of relevant training programs.
• Preferred: Bachelor's Degree in Nursing within 3 years and certifications like CCM or ACM.

Key Duties

• Perform case management functions for complex patients and their families.
• Coordinate care, negotiate resources, and monitor clinical and financial standards.
• Collaborate with medical teams and external providers to ensure optimal patient care.
• Review medical records for variances and intervene to improve outcomes.

Additional Information

This on-site, Per Diem position involves variable shifts and offers competitive pay, benefits, and opportunities for additional compensation. The role emphasizes patient-centered care, teamwork, and adherence to quality standards in a supportive, inclusive environment.