RN Care Manager: Care Coordination & Utilization

Adventist Health; California; On-site; USD 95,000 - 130,000; Full time

Job summary

Adventist Health Roseville is seeking a Nurse Case Manager to develop, implement and evaluate care management service lines. You will promote continuity of care and cost-effectiveness through whole-person in-patient and outpatient management, care integration, and utilization review.

The role requires RN licensure in the state of practice and prefer candidates with a BSN and CCM certification. Collaboration with physicians and service lines will drive quality outcomes and patient flow.

Qualifications

• BSN preferred.
• Nursing experience preferred.
• RN licensure in state of practice required.
• CCM certification preferred.

Responsibilities

• Collaborate with physicians, claims, data analytics to manage member population.
• Promote continuity of care and cost-effectiveness through integrated care planning.
• Coordinate discharge planning and utilization management.

Skills

Nursing

Care coordination

Communication

Education

RN licensure required

BSN preferred

CCM certification preferred

Job description

Adventist Health Roseville is seeking a Nurse Case Manager to develop, implement and evaluate care management service lines. You will promote continuity of care and cost-effectiveness through whole-person in-patient and outpatient management, care integration, and utilization review.

The role requires RN licensure in the state of practice and prefer candidates with a BSN and CCM certification. Collaboration with physicians and service lines will drive quality outcomes and patient flow.