Registered Nurse (RN), Case Manager III, Inpatient Care Management - FT/Days (8hr) w/ Sign-On %[...]

MemorialCare; Long Beach (CA); On-site; Full time

Job summary

A leading healthcare organization is seeking an RN Case Manager III to independently manage patient case loads and collaborate with healthcare teams to achieve quality care outcomes. Candidates should possess strong communication skills and relevant qualifications. With competitive pay, this role supports career growth and offers a collaborative work environment.

Benefits

Competitive pay

Health insurance options

Sign-on bonus of $10,000

Qualifications

• Three years experience in clinical field of expertise.
• Two years experience in an acute setting preferred.
• Current California License in field of expertise.

Responsibilities

• Independently manages specific case loads of patients.
• Analyzes patient information and assesses functional status.
• Facilitates coordination among healthcare professionals.

Skills

Verbal Communication

Written Communication

Knowledge of Medical Necessity Criteria

Education

Bachelors degree in health related field

Job description

RN Case Manager III - (Job Number: LON009374)

Pay Competitive

Location Long Beach/California

Employment type Other

Job Description

Req#: LON009374 !*!

Title RN Case Manager III

Location Long Beach

Department Care Coordination

Status Full time

Shift Day

Sign on $10,000

At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Healthcare. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork.

Essential Job Outcomes & Functions Care Management

The care manager independently manages a specific case load of patients as identified by the Care Coordination Department. The care manager analyzes patient information and assess each patient’s functional status and decision making ability in relation to the continuum of care and discharge needs. The care manager collaborates with the health care team, patient, and family in planning and facilitating the achievement of expected outcomes for patients. Each treatment plan is evaluated for appropriate quality outcomes and utilization of resources. Continuum of Care/Quality The care manager works collaboratively with the health care team to provide education, resources, and referrals as needed for each patient and their family or care taker.

The care manager facilitates coordination among health care professionals, services, and settings involved in the patient’s care, with a focus on enhancing patient satisfaction. The care manager actively communicates with nursing leadership, CareLine physician directors, and Medical Directors on quality issues. As appropriate, concerns are referred to various Medical Staff Committees and CareLines through required documentation, including but not limited to the Clinical Pertinence Review Form. The care manager has the responsibility to maintain professionalism and provide ongoing education to the health care team regarding the case manager’s role.

Utilization Management: The care manager incorporates knowledge of medical necessity, CareLine protocols, and MAPs to evaluate for appropriateness of admissions, continued stay, and discharges. The case manager refers cases, as appropriate, for review to the Combined Utilization Management Committee and other Medical Staff Committees as needed.

Pay Range: $45.61/hr - $70.34/hr

Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more... Check out our MemorialCare Benefits for more information about our Benefits and Rewards.

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Minimum Requirements / Work Experience

• This position requires strong verbal and written communication skills with the ability to communicate well with people from diverse socioeconomic backgrounds.
• The care manager is knowledgeable of criteria for medical necessity for each level of care through the continuum of care. A knowledge of reimbursement related to MediCare, MediCal, Capitation, and Managed Care is required.
• Three years experience in clinical field of expertise with two years experience in an acute setting is preferred.
• Current California License in field of expertise.
• Bachelors degree in health related field.

About the company

MemorialCare is Orange & LA counties' leading integrated health system with the best doctors, urgent care, & pediatricians. Join our family & see the difference today!

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