Case Manager, RN - Per Diem

Salinas Valley Health; Salinas (CA); On-site; USD 123,000 - 143,000; Full time

Job summary

Salinas Valley Health is seeking a Case Manager RN for per diem coverage in Salinas, CA. The role emphasizes utilization review, discharge planning, and interprofessional collaboration to ensure safe and efficient patient transitions.

The RN must evaluate medical necessity, determine appropriate length of stay, and coordinate with NICU and pediatric teams when applicable. Licensure and BLS/Healthcare Provider certification are required.

Qualifications

• ASN required for role.
• BSN preferred but not mandatory.
• Current California RN license and BLS/Healthcare Provider per AHA.

Responsibilities

• Perform Utilization Review and Discharge Planning for assigned patients.
• Analyze medical records for medical necessity, level of care, and utilization of hospital services.
• Identify discharge needs, coordinate resources, and develop formal discharge plans.

Skills

Utilization review

Discharge planning

Nursing assessment

Care coordination

Education

ASN required

BSN preferred

Tools

EMR software

Job description

## Case Manager, RN - Per DiemApply: Salinas, CA: Per Diem: Posted Yesterday: SVH-103656**It's fun to work in a company where people truly BELIEVE in what they're doing!***We're committed to bringing passion and customer focus to the business.*## ## Department:Case Management**Job Description**Under the direction of the Director and or the Manager of Case Management performs Utilization Review and Discharge Planning for assigned patients. Analyzes medical record for medical necessity, level of care and appropriate utilization of hospital services. Provides assistance to patients and their family in planning discharge and after care of patients. Assesses needs, identifies resources to support discharge requirements and develops formal discharge plans. * Uses knowledge and skills to ensure a high degree of continuity of care.* Refers all cases, which fail to meet utilization screening criteria to physician reviewers.* Determines and monitors appropriate length of stay.* In collaboration with hospital personnel, manages care delivery.* Screens all patients for potential discharge needs.* Initiates discharge planning and facilitates discharge teaching.* Identifies resources for follow-up care and evaluate effectiveness of discharge planning. **NICU Specific Specifications:*** Participates in direct patient care by ensuring appropriate discharge information for each NICU infant.* Ensure that each infant discharged from the NICU have a follow-up by a primary care physician and provide when appropriate follow-up care in a specialized program for the High Risk Infant. Determine if infant meets high risk for follow-up criteria and advise parent/guardian of process. Make appointments at specialty clinics for infant.* Identify discharge needs at admission and arrange for any durable medical equipment the physician has ordered.* Ensure that each infant discharged has the opportunity to be seen by a Home Health Agency Nurse following discharge.* Referral to CCS when infant meets qualifying criteria. Instruct parent/guardian on CCS referral process.* Under direction of the Director of Case Management, develops and implements discharge planning standards of care for the neonatal unit.* Pursues new knowledge in neonatal discharge planning by reviewing and evaluating current literature, attending and/or presenting at conferences in order to maintain a high level of expertise.**Pediatric Specific Duties:*** Participates in direct patient care by ensuring appropriate discharge information for each pediatric patient.* Ensures communication with appropriate primary care physician and community agencies as well as when appropriate with. + CCS programs; identification and appropriate referrals + CCS Special Care Centers + Regional Centers whose care includes the needs of the infant, child or adolescent post acute hospital discharge.* Ensures provision of a written discharge information that is culturally and linguistically appropriate be given to the parent, legal guardian, and or primary care giver at time of discharge and shall include but not be limited to: + Diagnosis + Medications + Follow-up appointments with primary physicians and community agencies as listed above. + Instructions on medical treatments to be administered at home. + Copies of the above written discharge instructions to be given to the primary physician.* Ensures the provision of teaching the parent, legal guardian or primary caregiver the medical needs of the infant, child or adolescent including the use of necessary technology to support post discharge care.* Coordinates the appropriate multidisciplinary infant, pediatric and/or adolescent healthcare team members in discharge planning conferences.* Performs other duties as assigned. **Education:** Associates of Science in nursing (ASN) required, BSN preferred. **Licensure:** Current California RN license. Current BLS/Healthcare Provider status as per American Heart Association standards. \\*See unit specific certification requirements below. **Experience:** Three (3) years acute medical surgical nursing and at least one (1) year of utilization review, case management, or discharge planning experience in an acute care hospital required unless posting specifies as a training position. **Pay Range**: The hourly rate for this position is $89.37 - $103.45. The range displayed on this job posting reflects the target for new hire salaries for this position.**Job Specifications:**● Union: CNA### ### ● Work Shift: Day Shift### ### ● FTE: 0.0### ### ● Scheduled Hours: 0*If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!*### About Salinas Valley HealthSalinas Valley Health, formerly Salinas Valley Memorial Hospital, founded in 1953, is the cornerstone of what would eventually become Salinas Valley Health. Today, we serve thousands of individuals and families just like you throughout the Salinas Valley, Monterey Peninsula and the surrounding region. Each year, our highly trained team of healthcare professionals takes our renowned quality of patient care to the next level. Our team actively utilizes the latest medical techniques with our state-of-the-art technology to improve your health and well-being. In many cases this provides you and your family the opportunity to receive specialized care right here in your own community, without the need for travel. Our 263-bed acute care medical center employs more than 2,036 people and has a medical staff of more than 300 board-certified physicians across a broad spectrum of specialties, all dedicated to your care.