RN--Care Manager

RN--Care Manager

Tryfacta is seeking an RN--Care Manager for our client in Apple Valley, CA 92307. This is a 13-week contract assignment. If you meet the qualifications listed below and are interested, please apply now!

Position Title: RN--Care Manager

Location: Apple Valley, CA 92307

Duration: 13 weeks

Work Schedule: 07:00 AM-07:00 PM40 hours

Responsibilities for this position include, but are not limited to:

• Conduct comprehensive patient assessments to identify discharge and care coordination needs.
• Develop, implement, and monitor individualized discharge plans.
• Coordinate care with physicians, nurses, therapists, social workers, and other interdisciplinary team members.
• Perform utilization review to ensure appropriate level of care and efficient resource utilization.
• Facilitate family meetings and educate patients and caregivers on the plan of care.
• Coordinate post-acute services, including home health, skilled nursing facility (SNF) placement, durable medical equipment (DME), and ambulance transportation.
• Obtain prior authorizations and coordinate with HMOs, IPAs, and insurance providers.
• Ensure compliance with CMS, Joint Commission, and other regulatory standards.
• Document patient care accurately using computerized documentation systems.
• Participate in treatment planning and support safe, timely patient transitions.
• Connect patients with appropriate community resources, including behavioral health, substance abuse treatment, homelessness services, protective services, and advance care planning when applicable.
• Collaborate with the healthcare team to improve patient outcomes and reduce readmissions.
• Maintain effective communication with patients, families, and all members of the healthcare team throughout the continuum of care.

To be considered for this position, you should have:

• Active and unrestricted Registered Nurse (RN) license.
• Minimum 2 years of recent Acute Care Hospital Case Management experience (preferred).
• Recent experience in Patient Assessment, Care Coordination, Discharge Planning, and Utilization Review.
• Ability to independently arrange DME, Skilled Nursing Facility (SNF) placements, Home Health services, and ambulance transportation.
• Experience working with HMOs, IPAs, insurance benefits, and prior authorizations.
• Knowledge of CMS regulations, Joint Commission standards, DRGs, and discharge planning requirements.
• Experience leading or participating in interdisciplinary team meetings and family care conferences.
• Strong communication, critical thinking, and organizational skills.
• Proficiency with computerized documentation/Electronic Medical Records (EMR).
• Experience in Emergency Department, ICU, Medical-Surgical, or Surgical Services is preferred.
• Behavioral Health-only Case Management experience does not qualify for this position.
• Current BLS Certification

Tryfacta is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.