Case Manager RN - Discharge & Care Coordination

Alameda Health System; San Leandro (CA); Sur place; USD 88 000 - 147 000; Plein temps

Résumé du poste

Alameda Health System is seeking a registered nurse to perform comprehensive case management for patients with complex health and social needs. The role focuses on discharge planning, care coordination, and community resource linkage to prevent deterioration and reduce costly hospitalizations.

The ideal candidate has an active California RN license, BLS certification, and 2+ years in acute care or utilization review, with experience in case management or home health preferred.

Qualifications

• Associates degree in a related field; Bachelor's degree preferred.
• Minimum two years' experience in acute care or utilization review; varied case management/community health experience preferred.
• Licenses/certifications: BLS (AHA) and CA RN license; preferred: Public Health Nurse, Case Management, or Home Health.

Responsabilités

• Conducts discharge planning assessments with attention to patient age and cultural context.
• Coordinates disposition and transfer readiness with physicians and payers; completes TAR and related docs.
• Connects patients/families to community resources and helps plan for post-discharge care.
• Educates patients on illness, discharge planning, and self-management with nursing support.
• Provides community resource coaching and disease self-management guidance.
• Reassesses patient condition, revises care plans, and coordinates services with local resources; advocates for services and benefits.
• Reviews caseload for medical necessity, ongoing stays, and resource use; coordinates with interdisciplinary team for transitions.
• Mentors staff on care coordination, training, and quality improvement; educates on Advance Directives and POLST.
• Understands insurance/compliance standards; coordinates denials with physicians; documents treatment plans and discharge information as required.

Connaissances

Two years acute care experience

Utilization review

Formation

Associate's degree in related field

Bachelor’s Degree preferred

Description du poste

Alameda Health System is seeking a registered nurse to perform comprehensive case management for patients with complex health and social needs. The role focuses on discharge planning, care coordination, and community resource linkage to prevent deterioration and reduce costly hospitalizations.

The ideal candidate has an active California RN license, BLS certification, and 2+ years in acute care or utilization review, with experience in case management or home health preferred.