(RN) Care Manager - East Campus - 141493

University of California - San Diego Medical Centers; San Diego (CA); On-site; USD 161,000 - 213,000; Full time

Job summary

UC San Diego Health is seeking an experienced RN Care Manager to coordinate hospitalization from pre-admission through discharge and to collaborate with physicians, nurses, social workers, and other providers to ensure timely, cost-effective care.

The role requires CA RN licensure, 3+ years in inpatient care management or discharge planning, and strong organizational and communication skills. Must meet pre-employment checks; miscellaneous hours may apply.

Qualifications

• Must be a graduate from an accredited school of Registered Nursing.
• Registered Nurse (RN) license issued by the State of California.
• BART or BLS with commitment to get BART within six months of hire date.
• Minimum of 3 years prior inpatient RN care manager experience in an acute care hospital, or a minimum of 3 years of inpatient RN experience in the acute care hospital setting with discharge planning, interprofessional communication, knowledge of post-acute care resources, strong organizational skills, and ability to prioritize multiple tasks.
• Demonstrated utilization review/discharge planning experience.
• Knowledge of the payer industry, resource management, reimbursement, and evidence-based clinical practice is essential.
• Proficiency in MS Office: Word, Excel, Outlook, PowerPoint, etc.
• Proven fast and accurate typing and data entry skills.
• Strongly skilled in conflict management and resolution.
• Must possess strong interpersonal skills, leadership, negotiation skills, and knowledge of hospital operations.

Responsibilities

• Coordinate hospitalization from pre-admission through discharge under general supervision.
• Collaborate with physicians, nurses, social workers, and other healthcare providers to expedite appropriate, cost-effective care.
• Apply clinical expertise and criteria to resource utilization and discharge planning.
• Communicate with administration and healthcare team to facilitate patient care.

Skills

Discharge planning

Interprofessional communication

Nursing

Leadership

Conflict resolution

Education

BSN/MSN

ADN with 3 years inpatient RN care management

ACM/CCM certificate

Tools

Epic

ECIN

Utilization Review

InterQual

Job description

DESCRIPTION

UC San Diego Health is proud to be a four-time Magnet-designated organization and has now earned Magnet with Distinction from the American Nurses Credentialing Center (ANCC). Magnet is the gold standard for nursing excellence, achieved by only about 10% of hospitals worldwide. Magnet with Distinction is awarded to the highest-performing Magnet organizations, with only a select few earning this prestigious honor. This recognition reflects our commitment to transformational leadership, professional nursing excellence, innovation, exceptional patient outcomes, and an empowering practice environment where nurses thrive.

OUR CARE MANAGERS

Our Care Managers are essential members of our healthcare team who positively affect our patient and organization outcomes. UCSD is a tertiary-level acute hospital, so the Care Managers coordinate care for medically complex patients, allowing them to use their strong critical thinking skills and creative discharge planning. The Care Management Department is comprised of highly skilled Care Managers and Social Workers to provide excellent patient care for our diverse and complex patient population. This dynamic department continues to expand and grow every year, adding more valuable team members.

RESPONSIBILITIES

Under general supervision, the RN Care Manager is responsible for facilitating the patient's hospitalization from pre-admission through discharge. The Care Manager coordinates with physicians, nurses, social workers, and other healthcare providers to expedite medically appropriate, cost-effective care. The Care Manager applies clinical expertise and medical appropriateness criteria to resource utilization and discharge planning. The Care Manager will communicate with the administration and the healthcare team as needed to facilitate patient care.

APPLICATION INFORMATION

While not required, a cover letter is highly recommended when applying to this position.

MINIMUM QUALIFICATIONS

• Must be a graduate from an accredited school of Registered Nursing.
• Registered Nurse (RN) license issued by the State of California.
• BART or BLS at time of hire with commitment to get BART within six (6) months of hire date.
• Minimum of 3 years prior inpatient RN care manager experience in an acute care hospital, or a minimum of 3 years of inpatient RN experience in the acute care hospital setting with demonstrated expertise in discharge planning, interprofessional communication, knowledge of post-acute care resources, excellent organizational and time management skills, and ability to prioritize and manage multiple tasks simultaneously, or a minimum of 3 years combined inpatient RN care manager and inpatient RN experience in the acute care hospital setting, within the last 7 years.
• Demonstrated utilization review/discharge planning experience.
• Knowledge of the payer industry, resource management, reimbursement, and evidence-based clinical practice is essential.
• Proficiency in Information Systems, databases, and computer programs, including MS Office: Word, Excel, Outlook, PowerPoint, etc.
• Proven fast and accurate typing and data entry skills.
• Strongly skilled in conflict management and resolution.
• Must possess strong interpersonal skills, leadership, negotiation skills, and knowledge of hospital operations.

PREFERRED QUALIFICATIONS

• BSN/MSN. (Department will consider ADN candidates with a minimum of 3 years acute care inpatient RN case management experience.)
• ACM and/or CCM certificate.
• Med/Surg, progressive care, or ED clinical RN experience.
• Strong utilization review and InterQual experience.
• UCSD RN experience or RN experience in another academic medical center.
• Previous supervisory/management experience.
• RN experience in a post-acute care facility or home health agency.
• Familiar with Epic, ECIN (Allscripts), and/or Utilization Review / InterQual.
• Knowledge of local payers and coverage, reimbursement, and evidence-based clinical nursing practice.

SPECIAL CONDITIONS

• Must be able to work various hours and locations based on business needs.
• Employment is subject to a criminal background check and a pre-employment physical.

Pay Transparency Act

Annual Full Pay Range: $161,140 - $212,555 (will be prorated if the appointment percentage is less than 100%)

Hourly Equivalent: $77.17 - $101.80

Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).