Staff - Registered Nurse (RN) - Case Management - $55-90 per hour

RemoteWorker US; Los Angeles (CA); Remote; USD 80,000 - 100,000; Full time

Job summary

An established industry player is seeking a dedicated Registered Nurse (RN) specializing in Case Management. This role involves providing comprehensive care coordination services, ensuring patients receive the best possible outcomes. You will work closely with interdisciplinary teams, manage patient caseloads, and advocate for patients' needs while addressing healthcare challenges. This position offers a competitive hourly rate and the opportunity to make a significant impact on patient care in a supportive environment. If you're passionate about nursing and patient advocacy, this role is perfect for you.

Qualifications

• 5+ years of clinical acute care nursing experience.
• Recent case management experience is essential.

Responsibilities

• Manage a caseload of 18-20 patients effectively.
• Develop and implement care plans collaboratively.

Skills

Problem-solving

Multi-tasking

Care coordination

Clinical assessments

Education

Associate’s Degree in Nursing

Bachelor’s Degree in Nursing

Tools

InterQual assessments

Medicare documentation

Job description

Staff - Registered Nurse (RN) - Case Management - $55-90 per hour

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Job Details

• Specialty: Case Management
• Discipline: RN
• Start Date: ASAP
• Duration: Ongoing
• 40 hours/week, Day shifts
• Employment Type: Staff

Job Description & Responsibilities

In collaboration with the interdisciplinary team, provides care coordination services, evaluating options and services to meet patients' healthcare needs and promote quality, cost-effective outcomes. Acts as a consultant to the healthcare team managing specific patient populations, integrating utilization management, quality management, discharge planning, and post-hospital care coordination.

Essential Duties

• Manage a caseload of 18-20 patients effectively.
• Assess physical and biopsychosocial needs through clinical assessments and data analysis.
• Develop and implement care plans in collaboration with patients, families, and healthcare providers.
• Participate in interdisciplinary meetings and rounds.
• Initiate discharge planning within 24 hours of admission and update as needed.
• Collaborate with social workers to address psychosocial needs.
• Complete Medicare forms and documentation timely.
• Serve as a clinical consultant on financial and healthcare issues.
• Participate in quality improvement and compliance activities.
• Advocate for patients and involve families in care decisions.
• Educate patients and families regarding discharge plans and healthcare needs.
• Propose cost-effective treatment options and address barriers to care.
• Perform InterQual assessments at admission, change of care level, every three days, and discharge.
• Manage payer communications and authorization documentation.
• Perform timely clinical reviews and communicate with payers.

Minimum Qualifications

• Associate’s Degree in Nursing
• Minimum 5 years of clinical acute care nursing experience
• At least 2 years of recent case management experience
• Knowledge of case management principles and healthcare management
• Strong problem-solving and multi-tasking skills

Preferred Qualifications

• Bachelor’s Degree in Nursing

Licenses & Certifications

• Registered Nurse (CA DCA)
• Basic Life Support (BLS) from American Heart Association
• Fire Life Safety Training (LA City) within 30 days of hire

The hourly rate range is $54.86 - $89.97. USC considers multiple factors when extending offers, including experience, education, skills, and market conditions.

USC is an equal opportunity employer committed to diversity and inclusion. We provide accommodations for applicants with disabilities. For inquiries, contact USC Human Resources.