Case Manager II

The RN Case Manager II assesses, develops, implements, coordinates and monitors a comprehensive plan of care for each patient/family in collaboration with the physician, social worker and all members of the interdisciplinary team in the inpatient and emergency department patient care areas. This position requires the ability to combine clinical/quality considerations with regulatory/financial/utilization review demands to assure patients are receiving care in the appropriate setting and level of care. The position creates a balance between individual clinical needs with the efficient and cost effective utilization of resources while promoting quality outcomes.
The Case Manager II position is part of the Integrated Care Management at Sharp Coronado Hospital. The department uses a collaborative model of nursing, social work and clinical support to navigate patients through utilization review, resource utilization and the discharge process. The department is comprised of RN case managers, medical social workers, and support staff.
Sharp Coronado Hospital and Healthcare Center is a 181-bed acute care hospital with services including sub-acute and long-term care, rehabilitation therapies, and emergency services. The hospital was opened and fully-funded by the citizens of Coronado who continue to participate in an active foundation and auxiliary.
Sharp Coronado incorporates many personalized aspects into its care philosophy ? including patient empowerment, patient and family education, and a physical environment that promotes healing through complementary therapies such as clinical aromatherapy, massage and Healing Touch. Sharp Coronado Hospital is one of the first five hospitals nationally to be designated as a Person-Centered Hospital by Planetree, an organization committed to personalizing, humanizing, and demystifying the hospital experience for patients and their families.
Physical requirements of position may be discussed during interview.
Sharp HealthCare is proud to be an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, gender identity, transgender status, sexual orientation, protected veteran status or any other protected class.
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This position is located in Coronado, CA (San Diego County)
8 hour day shift, 8:00am ? 4:30pm, including one week shift a month
Required Skills and Qualifications
Current unencumbered California Registered Nurse license
BSN or equivalent degree
Three years of recent acute care nursing experience or case management experience
Three years of recent case management, utilization review, care coordination experience
Advanced PC, data management and analysis skills
Understanding and knowledge of payer eligibility and reimbursement regulations and impact on the continuum of care
Knowledge of use of community resources to coordinate safe discharges from acute care and the ED settings
Excellent interpersonal skills, as demonstrated by the ability to work effectively with individuals and/or teams, and across disciplines
Excellent communication and negotiation skills, as demonstrated in oral and written forms
Ability to work in a collaborative partnership model with Social Workers and other members of the interdisciplinary team, both internal and external
Organizational and time management skills as evidenced by capacity to prioritize multiple tasks
Ability to mentor and lead a team
Preferred Skills and Qualifications
Master?s prepared RN
CM Certification - such as Accredited Case Manager (ACM) or Certified Case Manager (CCM)
Experience with InterQual and/or MCG, Cerner and Insocare
Job: Case Manager Jobs
Organization: 87500 - Case Management
Title: Case Manager II
Location: Coronado-Coronado Hospital
Requisition ID: 90273

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