Registered Nurse - Case Manager

TALENT Software Services; Mission Viejo (CA); On-site; USD 75,768 - 82,656; Full time

Job summary

A healthcare services provider in Mission Viejo is looking for a Mid-Senior level Care Manager to assess patients, coordinate care, and plan discharges. The ideal candidate should possess 2 years of acute medical Care Manager experience and be familiar with regulatory knowledge and computerized documentation systems. This full-time role requires travel and potentially involves Trauma Level I and II experience.

Qualifications

• 2 years of acute medical Care Manager experience in Care Coordination.
• Travel experience required.
• Preferred experience in Trauma Level I and II.

Responsibilities

• Assess patients, coordinate care, and plan discharges.
• Organize and participate in family meetings.
• Contribute to the development of treatment plans.
• Arrange DME, SNF, and ambulance transport independently.
• Utilize computerized documentation systems.

Skills

Acute Hospital Case Management/Utilization Review

Care Coordination

Discharge Planning

Regulatory Knowledge: CMS, Department of Health, DRG, HIPAA, OSHA, The Joint Commission

Epic Charting System

Job description

Base pay range

$55.00/hr - $60.00/hr

Duties

• Assess patients, coordinate care, and plan discharges.
• Organize and participate in family meetings.
• Contribute to the development of treatment plans.
• Arrange DME, SNF, and ambulance transport independently.
• Utilize computerized documentation systems.
• Work with HMOs, IPAs, and understand adoption/foster care, drug/alcohol abuse treatment, mental health crises, and protective services.

Skills

• Acute Hospital Case Management/Utilization Review
• Appeals and Denials
• Care Coordination
• Disability Case Management
• Discharge Planning
• Disease Management
• Needs Assessment/Order DME
• Plan of Care
• Worker’s Comp Case Management
• Regulatory Knowledge: CMS, Department of Health, DRG, HIPAA, OSHA, The Joint Commission
• Acute Hospital Experience in Emergency Department*, ICU*, MS, Surgical Services*
• Epic Charting System

Experience

• 2 years of acute medical Care Manager experience in Care Coordination
• Travel experience required
• Preferred experience in Trauma Level I and II

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Other

Industries

• IT Services and IT Consulting