(RN) Care Manager - Per Diem - Care Management - 141463

UC San Diego Health; San Diego (CA); On-site; USD 172,000 - 210,000; Full time

Job summary

UC San Diego Health is seeking an RN Care Manager to coordinate patient care from pre-admission through discharge. You will work with physicians, nurses and social workers to facilitate medically appropriate, cost-effective care and ensure smooth patient transitions.

The role requires CA RN licensure, strong communication, and experience with InterQual and discharge planning in a fast-paced hospital setting; familiarity with Epic/ECIN is a plus.

Qualifications

• RN license issued by the State of California
• Bachelor of Science in Nursing (BSN) or higher preferred
• ACM and/or CCM certification preferred
• ADN RN with minimum 3 years acute care manager experience
• Minimum 3 years inpatient RN care manager experience in acute care hospital within last 7 years
• Two years of experience with InterQual
• Experience with discharge planning and utilization review
• Proficient in MS Office (Word, Excel, Outlook, PowerPoint) and EMR documentation

Responsibilities

• Coordinate care from pre-admission through discharge
• Collaborate with physicians, nurses, social workers and other providers
• Apply clinical judgment to resource utilization and discharge planning
• Communicate with administration and healthcare team as needed

Skills

InterQual

Discharge planning

Communication

MS Office

Typing / data entry

Education

BSN/MSN

RN License - CA

ACM/CCM certificate

Tools

Epic

ECIN (Allscripts)

Utilization Review

Job 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 are essential members of our healthcare team who positively affect our patient and organizational 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.

MINIMUM QUALIFICATIONS

• Must be a graduate of an accredited school of Nursing. Will only consider ADN with a minimum of 3 years of acute care manager experience.
• Registered Nurse (RN) license issued by the State of California.
• 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, 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. ADN RN must have a minimum of 3 years of acute care manager experience.
• Two (2) years of experience with InterQual.
• Demonstrated utilization review/discharge planning experience.
• Effective interpersonal communication and negotiation skills, leadership ability, and conflict management and resolution.
• Thrives and excels in a fast-paced, dynamic environment and is committed to professional growth and ongoing departmental performance improvement.
• Demonstrated understanding of patient flow and transitions to post-acute care and community-based services.
• Proficiency in information systems, databases, and programs including MS Office: Word, Excel, Outlook, and PowerPoint, etc.
• Must have fast and accurate typing, data entry skills and proficiency with detailed written communication appropriate for electronic medical records.

PREFERRED QUALIFICATIONS

• BSN/MSN
• ACM and/or CCM certificate.
• Three to five (3 - 5) years of clinical RN experience or RN care management experience in an acute care setting.
• Med/Surg, progressive care, or ED clinical RN 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 pre-employment physical.

Pay Transparency Act

Annual Full Pay Range: $191,094 - $191,094 (will be prorated if the appointment percentage is less than 100%)

Hourly Equivalent: $91.52 - $91.52

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).