Hospital Rn Case Manager

Healthcare Support Staffing; Santa Clara (CA); On-site; USD 90,000 - 115,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Job summary

A staffing agency in healthcare is seeking an experienced Hospital Registered Nurse to join a prestigious local hospital. The role involves developing plans of care, conducting private practice reviews, and collaborating with healthcare teams. Applicants must have a clear RN license in California and at least one year of acute care case management experience within a hospital setting. The position offers benefits including medical, dental, and vision coverage.

Qualifications

• Must have clear and active RN license in CA.
• BSN or equivalent education/experience in nursing or health related field.
• Acute care case management required within a hospital setting (minimum 1 year within the last 3 years) with references.
• Previous case management experience and demonstrated experience in utilization management, discharge planning, or transfer coordination.
• Knowledge of Nurse Practice Act and federal/state/local regulations.

Responsibilities

• Develops plans of care and discharge plans with physicians.
• Monitors clinical activities and makes care level recommendations.
• Performs daily pre-admission, admission, and concurrent utilization reviews.
• Monitors plan of care progression and facilitates multidisciplinary discussions.
• Educates healthcare team members on utilization and cost containment.
• Collaborates with patients, families, and healthcare staff regarding provisions of care.
• Incorporates and counsels on the correct and consistent application, interpretation, and utilization of member health care benefits (including transition of care).

Skills

RN license CA

Case management skills

Communication skills

Education

BSN or equivalent

Tools

Case management software

Job description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long‑lasting and rewarding career!

Job Description

Are you an experienced Hospital Registered Nurse looking for a new opportunity with a prestigious local hospital? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes” to any of these questions – this is the position for you!

If you are interested in being considered for this position, email kurt @ healthcaresupport.com

Daily Responsibilities:

• In conjunction with physicians, develops plans of care and discharge plans, monitors all clinical activities, makes recommendations for alternative levels of care, identifies cost‑effective protocols, and develops guidelines for care
• Performs daily pre‑admission, admission, and concurrent utilization reviews using guidelines, institutional policies/procedures, and other information to determine appropriate levels of care and readiness for discharge.
• Escalates utilization and system problems which have not been resolved at the local level to the next level immediately.
• Monitors the progression of the plan of care and facilitates discussions with the multidisciplinary teams.
• Educates other healthcare team members on utilization and cost containment initiatives.
• Collaborates with and provides information to patients, families, physicians, and staff regarding the provisions of care.
• Incorporates and counsels on the correct and consistent application, interpretation, and utilization of member health care benefits (including transition of care).

Qualifications

• Must have clear and active RN license in CA
• BSN or equivalent education/experience in nursing or health related field
• Acute care case management required within a hospital setting (minimum 1 year within the last 3 years) with references to reflect.
• Previous case management experience and demonstrated experience in utilization management, discharge planning, or transfer coordination
• Knowledge of Nurse Practice Act, The Joint Commission and other federal/state/local regulations

Additional Information

• Benefits offered: Medical, Dental, and Vision