RC Case Manager
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Job Location:
Santa Ana, CA - USA
Monthly Salary:
$ 40 - 50
Posted on:
17 hours ago
Vacancies:
1 Vacancy
Job Summary
Registered Nurse Case Manager (RN)
Schedule:
Monday Friday 8:00am-5:00pm
Make a Lasting Impact in Senior Care
Join Brigade Health Where Compassion and Clinical Excellence Meet
Why Senior Doc at Brigade Health
At Senior Doc at Brigade Health we provide end-to-end senior care with a specialization in dementia. We support frail and medically complex seniors through high-risk hospitalization events working closely with patients families hospitals and care partners to ensure appropriate utilization and safe transitions of care.
As a Registered Nurse Case Manager you will play a critical role in inpatient admission management utilization review and care coordination during some of the most vulnerable moments for patients and their families.
Position Summary
We provide end-to-end senior care with a specialization in dementia. As a mission-driven organization focused on delivering high-quality value-based care to frail seniors effective inpatient admission management is critical to supporting our patients and families.
The Registered Nurse Case Manager serves as the primary clinical lead for patients at risk for hospitalization. This role is responsible for monitoring inpatient admissions coordinating across hospital teams and internal clinicians supporting medically appropriate utilization and partnering with patients and families to ensure safe timely and well-coordinated hospital stays and transitions of care.
Duties and Responsibilities
Responsibilities include but are not limited to:
Coordinate and manage inpatient admissions continued stays and discharges to ensure medically appropriate timely and cost-effective care.
Perform utilization review using medical necessity criteria and collaborate with providers and hospital-based clinicians to support appropriate level-of-care decisions.
Serve as a clinical liaison between hospitals internal care teams payers and post-acute clinicians.
Support discharge planning and transitions of care to reduce avoidable readmissions.
Communicate effectively with patients and families regarding hospitalization status care plans and discharge needs.
Ensure accurate timely documentation and compliance with regulatory accreditation and payer requirements.
Participate in interdisciplinary care planning and escalation of complex cases as needed.
Minimum Qualifications
Active unrestricted Registered Nurse license in the state of practice.
Minimum of two years of clinical nursing experience including at least one to two years in case management utilization management or care coordination.
Experience supporting inpatient admissions hospital transitions or post-acute care.
Strong clinical assessment critical thinking and care coordination skills.
This is a mobile position requiring regular travel throughout the region to hospitals care settings and other sites as needed including same-day travel between locations.
Valid drivers license in the state of employment reliable transportation and current automobile insurance required.
Mileage and travel time will be compensated in accordance with company policy and applicable law.
Preferred Experience
Experience in value-based care managed care PACE or senior-focused populations.
Experience working with cognitively impaired or medically complex patients and their families.
Performance Measurement
Performance will be evaluated based on the following:
Reduction in avoidable hospital admissions and readmissions.
Timeliness and effectiveness of discharge planning and post-discharge follow-up.
Quality and accuracy of clinical documentation and utilization review.
Development and maintenance of effective relationships with key contacts at partner organizations.
Adherence to job responsibilities attendance guidelines departmental objectives and company core values.
Maintenance of professionalism and excellent internal and external customer service standards.
Compliance with safety and health standards.
Effective communication with medical professionals vendors families peers and supervisors.
Contribution to a positive respectful and inclusive working environment.
#ZR
Hourly range for posted region
$40 - $50 USD
Required Experience:
Manager
Key Skills
- Project Portfolio Management
- Motivational Interviewing
- HIPAA
- Computer Skills
- Intake Experience
- Lean Six Sigma
- Conflict Management
- Case Management
- Team Management
- Program Development
- Social Work
- Addiction Counseling
About Company
About Us: WE’RE REVOLUTIONIZING HEALTHCARE. JOIN US! Senior Doc is where compassion meets innovation in senior healthcare. Our dedicated team of primary physicians, nurse practitioners, and physician assistants provide comprehensive care for seniors in the comfort of their own homes ... View more
