#99069 (RN) Care Manager - Hillcrest
This position will remain open until a successful candidate has been identified.
UCSD Layoff from Career Appointment: Apply by 04/18/2019 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.
Special Selection Applicants: Apply by 04/29/2019. Eligible Special Selection clients should contact their Disability Counselor for assistance.DESCRIPTION
UC San Diego Health is a Magnet designated organization, which is a prestigious recognition that applies to only 6% of all U.S. hospitals. Magnet is the “gold standard” for nursing excellence and is based on strengths in five key areas which include transformational leadership, structural empowerment, exemplary professional practice, new knowledge, innovation and improvements and empirical quality results. UC San Diego Health has held its Magnet status since 2011.
Under general supervision, the RN Care Manager is responsible for facilitating the patient's hospitalization from pre-admission through discharge. The Care Manager coordinates with physicians, nurses, social workers and other healthcare providers to expedite medically appropriate cost effective care. The Care Manager applies clinical expertise and medical appropriateness criteria to resource utilization and discharge planning. The Care Manager will communicate with administration and the healthcare team as needed to facilitate patient care.
While not required, a cover letter is highly recommended when applying to this position.MINIMUM QUALIFICATIONS
Must be a graduate from an accredited school of Nursing.
Current Registered Nurse (RN) license issued by the State of California.
BART or BLS at time of hire with commitment to get BART within six (6) months of hire date.
Prior case management experience in large, acute care hospital. May consider candidates without case management experience who have extensive relevant inpatient clinical experience.
Demonstrated utilization review/discharge planning experience.
Knowledge of payer industry, resource management, reimbursement, and evidence-based clinical practice is essential.
Proficiency in Information Systems, databases, and computer programs including MS Office: Word, Excel, Outlook, PowerPoint, etc.
Proven fast and accurate typing and data entry skills.
Strongly skilled in conflict management and resolution.
Must possess strong interpersonal skills, leadership, negotiation skills, and knowledge of hospital operations.
BSN / MSN
Three to five years clinical experience in an acute care setting.
Previous supervisory/management experience.
ACM and/or CCM certificate.
Experience with Epic, ECIN, Interqual.
Must be able to work various hours and locations based on business needs.
Employment is subject to a criminal background check and pre-employment physical.