(RN) Care Manager - La Jolla

UC San Diego Health; San Diego (CA); On-site; USD 144,000 - 191,000; Full time

Job summary

UC San Diego Health is seeking an RN Care Manager to coordinate care for medically complex patients. This role involves facilitating hospitalizations and collaborating with healthcare teams to ensure effective discharge planning. Candidates should have a strong background in nursing with at least three years of experience in acute care settings.

Benefits

Medical insurance

Vision insurance

401(k)

Pension plan

Paid maternity leave

Paid paternity leave

Disability insurance

Qualifications

• Must have 3 years of RN care manager experience in an acute care hospital.
• Knowledge of payer industry and resource management is essential.
• Proficiency in Information Systems and databases.

Responsibilities

• Facilitate patient's hospitalization from pre-admission through discharge.
• Coordinate with healthcare providers to expedite cost-effective care.
• Apply clinical expertise to resource utilization and discharge planning.

Skills

Critical thinking

Organizational skills

Interpersonal skills

Conflict management

Education

Registered Nurse (RN) license

Graduate from an accredited school of Registered Nursing

BSN/MSN (preferred)

Tools

MS Office

Epic

Allscripts

Job description

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Join to apply for the (RN) Care Manager - La Jolla role at UC San Diego Health

This range is provided by UC San Diego Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$144,711.00/yr - $190,885.00/yr

Direct message the job poster from UC San Diego Health

UCSD Health Talent Acquisition | Connecting You to New Opportunities

UC San Diego Health is a Magnet designated organization, which is a prestigious recognition that applies to only 10% of all U.S. hospitals. Magnet is the "gold standard" for nursing excellence and is based on strengths in five key areas, which include transformational leadership, structural empowerment, exemplary professional practice, new knowledge, innovation and improvements and empirical outcomes. UC San Diego Health has held its Magnet status since 2011.

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.

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 administration and the healthcare team as needed to facilitate patient care.

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

The description and qualifications of this position have been slightly modified as of 1/22/2025.

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 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.
• UCSD RN experience or RN experience in another academic medical center.
• RN experience in post-acute care facility or home health agency.
• Facile with Epic, ECIN (Allscripts) and/or Utilization Review / InterQual.
• Knowledge of local payers and coverage, reimbursement, and evidence-based clinical nursing practice.

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Administrative

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at UC San Diego Health by 2x

Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

Pension plan

Paid maternity leave

Paid paternity leave

Disability insurance

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