Registered Nurse - Case Manager

TALENT Software Services; Oakland (CA); On-site; USD 80,000 - 100,000; Full time

Job summary

A healthcare services provider in Oakland is seeking a full-time RN Case Manager to ensure optimal healthcare outcomes. The role involves collaborating with healthcare teams for patient care coordination, compliance with regulations, and effective communication. Candidates must possess a California RN license, BLS certification, and a minimum of 5 years of RN Case Management experience. Join a dedicated team and contribute to efficient care transitions and resource management.

Qualifications

• Minimum of 5 years of RN Case Management experience required.
• Proficiency in regulatory compliance with state and federal laws.
• Strong ability to collaborate with healthcare teams.

Responsibilities

• Collaborate with healthcare providers to ensure patient care continuity.
• Review and assess patient care plans for compliance and quality.
• Develop effective transition plans for patient care.

Skills

Leadership skills

Communication skills

Care coordination

Interpersonal skills

Education

California RN License

BLS certification

Job description

Position Overview

We are seeking a dedicated professional to join our team for a full‑time role with a schedule of 5/8s, including every other weekend. This position requires a California RN License and BLS certification, along with a minimum of 5 years of RN Case Management experience.

Key Responsibilities

• Care Coordination and Transitions Planning: Collaborate with physicians, utilization managers, medical social workers, and bedside RNs to ensure timely patient progression and transition to appropriate care levels, aiming to prevent unnecessary admissions or readmissions.
• Patient Assessment: Review initial physician admission care plans, gather additional information, and conduct screenings for ancillary supportive services.
• Utilization Management: Ensure patient records meet level‑of‑care requirements, expedite transition planning, and collaborate with financial counselors and attending physicians.
• Care Transition Formulation: Develop transition plans in collaboration with patients, families, and healthcare teams, addressing complex clinical and social situations efficiently.
• Documentation and Compliance: Maintain current knowledge of regulatory requirements, consistently document in EHR, and ensure compliance with state and federal regulations.
• Operational Contribution: Identify and implement new systems and practices to improve patient/provider experiences and resource utilization.
• Communication and Collaboration: Foster positive relationships with healthcare teams and community agencies, utilizing effective communication skills to promote customer service.

Desired Skills And Attributes

• Strong leadership and supervision skills for developing comprehensive care coordination plans.
• Ability to identify and address barriers to care progression and transition.
• Proficiency in handling communications and participating in department operations.
• Effective interpersonal and communication skills to engage with diverse cultural and socioeconomic backgrounds.

Join our team and contribute to the delivery of optimal healthcare outcomes through effective care coordination and resource management.