This job is closed
Applications are no longer available for this announcement. Explore current related opportunities below.
Job description
ACM Case Manager II | Registered Nurse
Pauma Valley, CA $147,999 - $147,999 a year
Full Time
Position Overview
This Case Manager II role is dedicated to coordinating healthcare services to optimize patient outcomes within a regional healthcare setting in the Pacific Southwest. The position involves comprehensive assessment, evaluation, and collaboration to ensure effective patient care delivery. Emphasis is placed on cost-effective strategies that maintain high-quality care for the patient population served.
Key Responsibilities
Perform thorough assessments to identify patient needs and develop personalized discharge plans.
Coordinate services to maximize patient outcomes and facilitate smooth transitions of care.
Collaborate with healthcare teams and participate in service line activities to enhance care delivery.
Manage utilization review, discharge planning, and related healthcare services.
Serve as a liaison and advocate for patients, families, healthcare providers, and insurance personnel.
Promote dignity, confidentiality, empathy, and compassion throughout the patient experience.
Support evidence-based practices in case management and utilization review.
Maintain a safe and clean work environment adhering to infection control and regulatory policies.
Ensure compliance with standards such as The Joint Commission and OSHA.
Proactively identify and report safety concerns.
Implement cost-efficient strategies that uphold quality care standards.
Accurately document assessments and patient interactions in the Electronic Health Record (EHR) following departmental standards.
Provide mentorship and preceptorship to new nurses and students, fostering professional growth.
Engage in continuing education and quality improvement initiatives.
Act as a resource for best practices in case management.
Activate emergency response protocols during patient emergencies, including Rapid Response Team situations.
Qualifications
Minimum of two years' experience as a Registered Nurse in case management or utilization management.
Familiarity with Prospective Payment System and regulatory standards related to utilization management and discharge planning.
Competencies
Proficient with computer applications including Microsoft Word; knowledge of various payer systems; experience with referral management systems preferred.
Ability to make rapid decisions and adjust plans as needed; strong prioritization skills.
Effective verbal and written communication with patients, families, and multidisciplinary teams; strong interpersonal skills to foster collaboration.
Education
Bachelor of Science in Nursing (BSN) preferred; Associate Degree in Nursing (ADN) with five years of case management experience may be considered in lieu of BSN.
Licenses and Certifications
Current Registered Nurse license required.
Accredited Case Manager (ACM), Certified Case Manager (CCM), or equivalent certification preferred.
All candidates must successfully complete a physical evaluation, drug screening, and background checks prior to employment.
Worksite address
pauma valley, CA, 92061, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.