RN Case Manager — Care Coordination Leader

University-of-California,-Irvin; Orange (CA); On-site; USD 95,000 - 130,000; Full time

Benefits offered by this job

Medical insurance

Sick and vacation time

Retirement savings plans

Discounts and perks

Job summary

UCI Health is seeking a skilled Registered Nurse Case Manager to lead patient assessments, coordinate interdisciplinary care, and optimize transitions of care in a dynamic health system.

You will evaluate care plans with InterQual criteria, document outcomes, and collaborate with physicians to ensure high-quality, cost-effective care across the organization. A BSN and active RN license are required.

Qualifications

• Minimum 5 years of clinical experience with 1 year in Case Management.
• Current RN license and BSN required.
• Excellent written and verbal communication.
• Familiarity with Joint Commission, CMS, CDPH and CCS requirements.

Responsibilities

• Perform high-level assessment and reassessment to set patient care priorities and plan.
• Coordinate interdisciplinary care to ensure safe, cost-effective outcomes.
• Interface with physicians to improve clinical documentation quality.
• Conduct utilization review using InterQual criteria and document conclusions.
• Help transition patients across care settings and monitor resource utilization.

Skills

RN License

BSN

Communication skills

Multitasking

Interdisciplinary collaboration

Clinical experience

Education

Bachelor of Science in Nursing

Tools

Computer literacy

InterQual Criteria knowledge

Job description

UCI Health is seeking a skilled Registered Nurse Case Manager to lead patient assessments, coordinate interdisciplinary care, and optimize transitions of care in a dynamic health system.

You will evaluate care plans with InterQual criteria, document outcomes, and collaborate with physicians to ensure high-quality, cost-effective care across the organization. A BSN and active RN license are required.