The RN Case Manager (RN CM) assesses, develops, and coordinates comprehensive care plans for patients in inpatient and emergency settings, balancing clinical needs with regulatory and financial considerations.
Requires 3 years recent acute care or case management experience and an active California RN license; CCM certification preferred.
Responsibilities include timely discharge planning, care coordination, utilization review, and ensuring appropriate resource utilization.
Collaborates with interdisciplinary teams, handles referrals, documents in EMR and case management software, and communicates with payers and providers.
Maintains compliance, participates in professional development, and manages multiple tasks efficiently.
Shift hours are 8 AM to 4:30 PM, with additional shift and weekend as needed; no on-call required.
Pay ranges from $67.86 to $89.62, based on experience and union guidelines.