Care Manager - Central Placement Center - Hybrid/Miramar - Casual/Per-Diem

Care Manager - Central Placement Center - Hybrid/Miramar - Casual/Per-Diem

This is a casual/per-diem position with a 12-hour varied hours primarily being evening shifts 7pm to 7am or 3pm to 3am. Weekend requirements are one day every other week and holidays are rotated. This position is hybrid, being remote majority of the time. There are on-site requirements for one week each quarter. All training initially begins on-site or if there are any technical issues at home. This position is located off Miramar Road (Must be local to San Diego). At Scripps Health, your ambition is empowered, and your abilities are appreciated: Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. We invite you to join our highly engaged Central Placement Center as a Care Manager. The Central Transfer Center RN Care Manager coordinates safe, efficient patient transfers across the Scripps Health system. This nurse uses strong clinical judgment to assess patient needs, collaborate with physicians and care teams, and ensure placement at the appropriate facility and level of care. The role supports patient flow, timely access to services, and systemwide quality by serving as a key communication link between referring providers, internal departments, and receiving units. As a Care Manager you will be responsible for screening patients in their assigned caseload to identify those that are medically vulnerable, who may have needs that may be addressed at another location; or within contracted programs/vendors specific to their needs/health plan. In addition, you will coordinate with the health care team and the patient/family to address issues that may impact their care, and to develop a transition plan of care based on the patients' needs.

Qualifications

Preferred Education/Experience/Specialized Skills/Certification:

• Bachelor of Science in Nursing (BSN) highly desired.
• Case management certification is highly preferred.
• EPIC experience preferred.
• Demonstrate knowledge of utilization management including experience managing prior-authorization and concurrent review.
• Knowledge of Medicare and Commercial health plans.
• 3+ years of managed care and/or case management experience.
• Strong computer skills that can easily adapt to using multiple different programs.
• Prior experience in ICU/Critical Care, PCU, ER, preferred.

Required Education/Experience/Specialized Skills:

• RN 2+ years clinical experience
• 1-2 years inpatient acute hospital case management experience OR experience in either acute or non-acute case management.
• Excellent verbal and written communication (including documentation) skills demonstrated by completing the required forms and the ability to work effectively with individuals and or teams across disciplines.
• Ability to independently utilize critical thinking skills, nursing judgement and decision-making skills.
• Ability to prioritize, plan, and handle multiple tasks/demands simultaneously as evidence by capacity of open cased, active care plan rate and the ability to handle multiple tasks.
• Ability to read, analyze and interpret information in medical records, and health plan documents.
• Demonstrates knowledge in Microsoft Office applications including Outlook, Word, and Excel

Required Certification/Registration: Current California RN License.