Case Manager RN

San Antonio Community Hospital; Upland (CA); On-site; USD 71,000 - 107,000; Full time

Job summary

San Antonio Community Hospital in Upland, CA is seeking a registered nurse to evaluate the clinical status of patients to determine medical necessity for hospitalization and plan transitions to other care levels. The role emphasizes utilization review, discharge planning and case management within the emergency department and hospital wide EMR systems.

The ideal candidate has an active California RN license, BLS certification, and at least 3 years of acute hospital experience (1-2 years for per

Qualifications

• RN licensure in California.
• AHA BLS certification required.
• Experience in utilization review, discharge planning or case management preferred.

Responsibilities

• Evaluate clinical status of patients to determine medical necessity for hospitalization.
• Assess prior level of functioning and anticipated treatment plan for safe transitions.
• Support discharge planning and progression through levels of care.

Skills

RN licensure

AHA BLS

Clinical prioritization

Education

Nursing program (RN licensure)

Job description

Overview

JOB SUMMARY

Evaluates the clinical status of patients using evidence based criteria to determine medical necessity for hospitalization, clinical progression and continued acute care needs. Utilizes information about clinical condition, prior level of functioning and anticipated treatment plan to support a safe, smooth transition to other levels of care.

MINIMUM QUALIFICATIONS

Education: Graduate of a nursing program, leading to RN licensure.

Experience: Three years’ acute hospital experience preferred. Experience in utilization review, discharge planning and/or case management is preferred. For Per Diem positions 1-2 years previous acute inpatient adult case management experience is required.

Knowledge and Skills: Knowledge of common disease processes, knowledge of health care delivery systems, demonstrates understanding of common reimbursement methodologies. Able to manage competing priorities and effectively prioritizes work.

License and Certifications: Current RN licensure in the State of California anda current American Heart Association (AHA) BLS cardare required.

Equipment: Basic computer skills with working knowledge of Word. Willingness to learn all aspects of the Business Services, Case Management, Emergency Department and hospital wide electronic medical record systems.

Physical Requirements: Must be able to perform the essential physcial requirements of the job as noted in the job description.

PAY RANGE

$51.58 - $77.36

The posted pay range reflects the lowest to highest pay that was available for this position at the time of posting and may be subject to change. Salary offers are determined by candidate’s relevant experience and skills.For per diem positions, a standard rate is used based on market data and not the candidate’s individual experience.