RN Care Manager

TEEMA Group; Los Angeles (CA); On-site; USD 73,109 - 113,335; Full time

Benefits offered by this job

Competitive Pay

Flexible Scheduling

No Cost Medical, Dental, and Vision Options

Generous PTO Plan

403(b) Employer Match

Protective Equipment

Tuition Reimbursement

Employee Wellness Program

Onsite Childcare

Loan Forgiveness Eligible Facility

Job summary

An established industry player is seeking a dedicated RN Case Manager to join their team. In this impactful role, you will coordinate patient care, support interdisciplinary teams, and ensure high-quality treatment. With a focus on improving clinical outcomes and optimizing resources, you will be responsible for managing patient caseloads and facilitating transitions. This position offers a supportive work environment with flexible scheduling and opportunities for professional growth. If you're passionate about enhancing patient care and making a meaningful difference, this role is perfect for you.

Qualifications

• 1-3 years of hospital inpatient or related experience required.
• Certification in Case Management preferred.

Responsibilities

• Manage a designated patient caseload and facilitate care transitions.
• Collaborate with medical teams to enhance patient care outcomes.

Skills

Care Coordination

Patient Advocacy

Process Improvement

Regulatory Compliance

Communication Skills

Education

Associate’s Degree in Nursing (ADN)

Bachelor of Science in Nursing (BSN)

Tools

Basic Computer Proficiency

Job description

Join a dedicated team where your work has a meaningful impact every day. As an RN Case Manager, you will play a vital role in supporting physicians and interdisciplinary teams to enhance patient care, improve clinical outcomes, and optimize healthcare resources. You will be responsible for coordinating care, facilitating transitions, and ensuring patients receive high-quality, cost-effective treatment.

This position offers flexible scheduling, opportunities for professional growth, and a supportive work environment committed to excellence in patient care.

Key Responsibilities

1. Manage a designated patient caseload, ensuring effective care planning and transitions.
2. Facilitate precertification and authorization processes with payors.
3. Collaborate with medical teams to coordinate patient care across the continuum.
4. Identify and remove barriers to timely and efficient care delivery.
5. Utilize process improvement methodologies to evaluate patient care outcomes.
6. Ensure compliance with federal and state regulations, including CMS Conditions of Participation, EMTALA, and The Patient Bill of Rights.
7. Perform admission, continued stay, and discharge reviews to determine medical necessity and resource utilization.
8. Partner with healthcare providers and leverage evidence-based practices to enhance patient outcomes.
9. Other duties as assigned.

Required Qualifications

1. Associate’s Degree in Nursing (ADN) required.
2. 1-3 years of hospital inpatient or related experience.
3. Ability to effectively coordinate with provider networks, including Health Plans, IPAs, and FQHCs.

Preferred Qualifications

1. Bachelor of Science in Nursing (BSN).
2. Certification in Case Management.
3. Basic computer proficiency.
4. Current Basic Life Support (BLS) certification.

Why Join Us?

1. Competitive pay: $53.07 - $82.27 per hour.
2. Flexible scheduling to support work-life balance.
3. No cost medical, dental and vision option, Generous PTO plan, 403(b) employer match, Protective Equipment, Tuition reimbursement, Employee Wellness Program, Onsite childcare, Loan Forgiveness eligible facility, etc.