Case Management Utilization RN, 32/hr Day

Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient and other disciplines to coordinate a safe and acceptable discharge plan. Functions as an indirect caregiver, patient advocate and manages patients in the most cost effective way without compromising quality.

• Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays.
• Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization.
• Interacts with the family, patient and other disciplines to coordinate a safe and acceptable discharge plan.
• Functions as an indirect caregiver, patient advocate and manages patients in the most cost effective way without compromising quality.
• Transfers stable non-members to planned Health care facilities.
• Responsible for complying with AB 1203, Post Stabilization notification.
• Complies with other duties as described.

• Two (2) years combined RN experience in an acute care setting or case management required.
• Completion of an accredited RN training program that allows graduates to take RN license exam.
• Registered Nurse License (California)
• Basic Life Support
• Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of Utilization review/management, discharge planning or case management.

• Medical, Vision & Dental
• Retirement Plans
• Educational Opportunities & Tuition Reimbursement
• Supportive Teams & Resources
• Career Growth & Development

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