Acute Care RN Case Manager

Acute Care RN Case Manager

Lake Elsinore, CA $49,399 - $73,099 a year

Position Overview

This role involves coordinating services to optimize patient outcomes through assessment, evaluation, collaboration, and management of care delivery systems. The focus is on implementing cost-effective strategies that ensure high-quality care within the current healthcare environment for the designated patient population.

Key Responsibilities

• Maintain a safe and clean work environment, adhering to unit safety and infection control protocols.
• Coordinate patient services to maximize outcomes effectively.
• Assess, evaluate, and collaborate with healthcare teams and participate in service line activities.
• Manage utilization, discharge planning, and other healthcare service systems.
• Serve as a liaison and facilitator among patients, families, healthcare providers, and insurance personnel.
• Oversee direct admission processes and bed assignments for patients admitted through physician offices or transfers from other facilities (emergency department focus).
• Provide coverage for holiday shifts as required.

Qualifications

• Minimum of three years clinical and case management experience in an acute care setting preferred.
• Familiarity with Prospective Payment System, JCAHO standards, and regulatory requirements related to Utilization Management and Discharge Planning is desirable.
• Strong written and verbal communication skills.

Education

• Bachelor's degree in nursing or a related health field preferred.

Licenses

• Current Registered Nurse license required.

Successful candidates must pass a physical exam, drug screening, and background checks prior to employment. This position is located in a regional healthcare setting within the Pacific Southwest region of the United States.