Utilization Review Case Manager Extra on Call Nights

Trinity Health; Fresno (CA); On-site; USD 68,000 - 99,000; Part time

Job summary

Trinity Health in Fresno, CA seeks a part-time RN to coordinate utilization review services across the acute care continuum. You will lead discharge planning, utilization management, and care coordination with an interdisciplinary team to optimize resource use and patient care.

The role requires CA RN licensure and experience in acute care, with preferred BSN and CCM credentials. InterQual training and AHA CPR are valued. Night shifts and a strong collaborative environment are offered.

Qualifications

• Current RN licensure in California is required.
• InterQual training must be obtained within six months of hire.
• Experience in at least two areas of clinical specialty in an acute care setting is required.
• Excellent communication skills, critical thinking, problem-solving, and organizational skills are required.
• Self-directed and able to tolerate interruptions with a demanding workload.
• BSN degree preferred.
• CCM certification preferred.
• AHA CPR preferred.

Responsibilities

• Coordinate utilization review services for defined patient populations across the acute care continuum.
• Oversee discharge planning and utilization management activities.
• Support care coordination collaboration and resource utilization.
• Collaborate with an interdisciplinary team to improve patient care and resource use.

Skills

Communication skills

Critical thinking

Organizational skills

Problem solving

Self-directed

Education

BSN degree

CCM certification

Tools

InterQual training

AHA CPR

Job description

Employment Type

Part time

Shift

12 Hour Night Shift

Description

Reporting to the Manager Social Services, Social Services, this position coordinates utilization review service for defined patient populations across the acute care continuum. This includes discharge planning, utilization management, care coordination collaboration, and support for resource utilization. This position works collaboratively with an interdisciplinary team to improve patient care through the effective utilization of the facility's resources.

Requirements

1. 1. Current licensure as a Registered Nurse (RN) in the state of California is required.
2. 2. Current American Heart Association (AHA) Healthcare Provider CPR card is preferred.
3. 3. Degree from an accredited baccalaureate nursing program (BSN) is preferred.
4. 4. Certified Case Manager (CCM) national certification is preferred.
5. 5. InterQual training must be obtained within six (6) months of hire into position.
6. 6. Previous experience in at least two (2) areas of clinical specialty in an acute care setting is required.
7. 7. Excellent communication skills, critical thinking, creative problem-solving skills, and competent organizational and planning skills are required.
8. 8. The incumbent must be self-directed and able to tolerate frequent interruptions with a demanding workload.
9. 9. Knowledge regarding hospital protocol and procedures, clinical standards and outcomes, funding options, familiarity with community resources and outside professional agencies, familiarity with federal and state regulations governing hospital and home care, as well as understanding of the financial structure of health plan and delivery system is preferred.

Pay Range

$49.47 - $71.74

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.