RN Clinical Case Manager - Per Diem (Discharge & UM)

University of California- Davis Health; Sacramento (CA); On-site; USD 116,000 - 157,000; Part time

Job summary

University of California Davis Health is seeking a Per Diem Clinical Case Manager in Sacramento to support discharge planning and utilization management. The role emphasizes coordinating care, reviewing authorizations, and ensuring timely patient transitions on a 20% time basis.

The ideal candidate has an RN license, a BSN preferred, and strong knowledge of Medicare/Medicaid and third-party payor processes. This on-site position offers a dynamic healthcare team environment.

Qualifications

• Valid California RN license without restriction.
• Graduate from an accredited school of nursing.
• Minimum 2 years case management experience in discharge planning or utilization management.
• Active knowledge of discharge planning, utilization management, and reimbursement.
• Knowledge of Medicare, Medi-Cal, and HMO legislation and payor contracts.
• Familiar with Nursing Practice Act and ethics standards.
• Ability to read English and medical terminology; assess admissions and discharge needs.
• Ability to analyze charts and develop care plans.
• Coordinate health care team and maintain professional relationships.
• Work under pressure and manage multiple priorities with confidentiality.

Responsibilities

• Utilization reviews and case finding.
• Coordination and implementation of discharge plans.
• Communication, coordination, and documentation.
• Secure authorization for care and reimbursement.
• Denials and appeals management.
• Quality and education.

Skills

RN license

Discharge planning

Utilization management

Performance improvement

Managed care

Medicare knowledge

Nursing ethics

Medical terminology

Conflict management

Interpersonal communication

Education

BSN

Job description

University of California Davis Health is seeking a Per Diem Clinical Case Manager in Sacramento to support discharge planning and utilization management. The role emphasizes coordinating care, reviewing authorizations, and ensuring timely patient transitions on a 20% time basis.

The ideal candidate has an RN license, a BSN preferred, and strong knowledge of Medicare/Medicaid and third-party payor processes. This on-site position offers a dynamic healthcare team environment.