RN Care Manager: Patient-Centered Care & Transitions Lead

MemorialCare; Colonia Juarez (CA); On-site; USD 79,000 - 124,000; Part time

Job summary

MemorialCare in Laguna Hills is seeking an RN Care Manager for a per-diem, day shift. The role focuses on utilization review, care coordination, and transition planning for an assigned patient caseload.

Responsibilities include clinical assessment, payor communications for authorizations, and implementing patient/family centered care plans across the continuum to achieve optimal outcomes.

Qualifications

• Three to five years acute care experience with utilization review, discharge planning and risk management preferred.
• California RN License required; BSN or higher preferred.
• Heart Association BCLS required; CCM and specialty certifications preferred.

Responsibilities

• Utilizes the Utilization Review plan and nursing process for case management.
• Coordinates patient care across the continuum to meet outcomes.
• Communicates with payors for authorizations and supports a patient/family centered plan of care.
• Mentors staff and maintains patient privacy and confidentiality.

Skills

Acute care experience

Utilization review

Discharge planning

Case management

Education

California RN License

BSN or higher preferred

ACLS Certification

CCM certification preferred

Specialty Certification preferred

Tools

Computer & Internet

Order entry

Job description

MemorialCare in Laguna Hills is seeking an RN Care Manager for a per-diem, day shift. The role focuses on utilization review, care coordination, and transition planning for an assigned patient caseload.

Responsibilities include clinical assessment, payor communications for authorizations, and implementing patient/family centered care plans across the continuum to achieve optimal outcomes.