Case Manager, RN – Days

Working Nurse; Santa Clarita (CA); On-site; USD 70,000 - 109,000; Full time

Job summary

Henry Mayo Newhall Hospital in Santa Clarita, CA is seeking an experienced RN Case Manager to coordinate care across the continuum, perform utilization review, and connect patients, families, and nursing units with social work and post-hospital planning.

The role requires CA RN license, BLS, and case management certification preferred; two years in acute care or five years nursing experience preferred. Shift is Full Time 8:00AM-4:30PM with a pay range of $51.31 to $78.76 per hour.

Qualifications

• Must hold a current CA RN license.
• Current BLS provider card is required.
• Case Management certification preferred.

Responsibilities

• Coordinate care across the continuum of care and oversee post-hospital planning.
• Perform utilization review and act as a resource to patients, families, and units.
• Interface with insurance companies, medical groups, and community resources to ensure appropriate service use.
• Work as part of a multidisciplinary team to manage patient throughput during acute episodes.

Skills

Interpersonal skills

Leadership

Negotiation

Hospital operations knowledge

Payer industry knowledge

Education

Diploma / AA / BS in Nursing

MS in Nursing preferred

Job description

Job Description

The RN Case Manager is responsible for coordination of care, utilization review, acting as a resource to patient, family and nursing units; referrals to clinical social worker for psycho-social issues and complicated discharge planning issues; and overseeing coordination of post-hospital care needs; interacting with insurance companies, medical groups, and community resources to ensure timely, efficient use of all services.

Applies knowledge of the expected clinical process, available resources, medical necessity criteria, regulatory requirements, and relevant standards of care in anticipating patient needs.

Responsible for case management across the continuum of care utilizing an interdisciplinary approach to managing patient throughput in a fiscally responsible manner to achieve optimal outcomes. Works as a member of a multidisciplinary team to actively facilitate those functions associated with the patient throughout an acute episode of care.

RN Job

Case Manager, RN - Days

Shift

Full Time 8:00AM- 4:30PM

Pay Range

$51.31 to $78.76

Job ID

30182

Location

Santa Clarita, 91355

Qualifications

Licensure and Certification

• Current CA RN license
• Current BLS provider card
• Case Management certification preferred

Education

• Diploma, AA, BS in Nursing
• MS in Nursing preferred

Experience

• Two (2) years as a Case Manager in an acute care setting or five years recent acute care nursing experience preferred.
• Demonstrates strong interpersonal skills, leadership ability, negotiation skills, and knowledge of hospital operations.
• General knowledge of the payer industry, resource management, reimbursement, and evidence-based clinical practice is essential.
• Knowledge of InterQual and/or Milliman preferred

About The Hospital

Be a part of the team at Henry Mayo Newhall Hospital, the healthcare leader in the Santa Clarita Valley.