RN Care Manager — Care Coordination Leader

MemorialCare; Fountain Valley (CA); On-site; USD 79,000 - 124,000; Full time

Job summary

MemorialCare is seeking an RN Care Manager in Laguna Hills to perform utilization review, coordinate multidisciplinary care, and plan transitions for an assigned caseload. You will conduct clinical assessments, communicate with payors for authorizations, and implement patient/family centered plans across the continuum to optimize outcomes.

The role requires strong communication with patients, families, physicians, and the care team, and adherence to quality and financial targets within

Qualifications

• This role requires an active RN license and CA registration.
• Experience in care coordination and utilization review is preferred.
• Strong communication with patients, families and care teams.

Responsibilities

• Utilize the Utilization Review plan and nursing process for case management.
• Coordinate patient care across the continuum to achieve outcomes.
• Demonstrate critical thinking in clinical decision-making.
• Teach, guide and consult with healthcare teams to maintain care standards.
• Maintain patient documentation per clinical information system requirements.
• Promote a safe and effective work environment.
• Mentor new staff and uphold professional conduct.
• Protect patient privacy and confidentiality in all forms.
• Demonstrate discretion and tact in interactions.
• Integrate role-specific competencies into daily practice.
• Be punctual and adhere to policies.
• Engage positively with colleagues and patients.
• Prioritize tasks and multitask to meet benchmarks.

Skills

Utilization Review

Care Coordination

Leadership

Critical Thinking

Documentation

Patient Privacy

Education

Registered Nurse (RN) license - CA

Tools

EMR / Electronic Medical Records

Job description

MemorialCare is seeking an RN Care Manager in Laguna Hills to perform utilization review, coordinate multidisciplinary care, and plan transitions for an assigned caseload. You will conduct clinical assessments, communicate with payors for authorizations, and implement patient/family centered plans across the continuum to optimize outcomes.

The role requires strong communication with patients, families, physicians, and the care team, and adherence to quality and financial targets within