RN Case Manager: Care Coordination Leader

PIH Health; Whittier (CA); On-site; USD 90,000 - 120,000; Full time

Job summary

PIH Health in California seeks an experienced Registered Nurse Case Manager to lead care coordination, discharge planning, and utilization review across the hospital and post-acute settings. You will partner with nursing, physicians and other disciplines to optimize outcomes and ensure appropriate level of care.

Requirements include active California RN license, CCM or ACM within 3 years, and minimum 5 years hospital nursing experience; BSN/MSN preferred.

Qualifications

• Maintain an active California RN license.
• Obtain ACM or CCM within 3 years of hire.
• Minimum of 5 years hospital nursing experience.

Responsibilities

• Care coordination to pace care for outcomes and meet core measures.
• Discharge planning across acute and post-acute levels of care.
• Utilization review to demonstrate medical necessity and ensure reimbursement.

Skills

Verbal communication

Written communication

Organizational skills

Follow chain of command

Medical terminology

Decision making

Prioritization

Computer proficiency

Education

RN license

ACM/CCM within 3 years

BSN/MSN preferred

Tools

Main-frame computers

Personal computers

Job description

PIH Health in California seeks an experienced Registered Nurse Case Manager to lead care coordination, discharge planning, and utilization review across the hospital and post-acute settings. You will partner with nursing, physicians and other disciplines to optimize outcomes and ensure appropriate level of care.

Requirements include active California RN license, CCM or ACM within 3 years, and minimum 5 years hospital nursing experience; BSN/MSN preferred.