"RN Case Manager - Los Alamitos - FT Days"

Position Summary:

The Case Manager is a clinician who in conjunction with other members of the health care team is accountable for timely coordination of quality health care services to meet the patient's healthcare needs across the continuum of care. This position requires knowledge of the development stages as services are provided to infants, children, adolescent, pediatrics, adult, and geriatric populations. Also requires is knowledge of cultural diversity and influences in the response to illness, as there is diversity in the population services. Case management initiates and implements utilization / resource management, continued stay monitoring, discharge planning, supporting optimal patient care outcomes along the continuum of care.

What It Takes to be Successful

Required Qualifications:

• Must work every other weekend
• Current California Registered Nurse license
• All external candidates must have a Bachelor of Science in Nursing
• Working knowledge of Intequal IS-SI Criteria
• Working knowledge of Medicare, Medi-Cal, NCQA, Heidis, and other criteria identifies by the Quality/Care Management Department
• Minimum of 1 year discharge planning experience
• Working Knowledge of managed care and capitation operations
• Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
• Must demonstrate customer service skills appropriate to the job
• Excellent written and verbal communication skills in English
• Ability to maintain a work pace appropriate to the workload
• Ability to establish and maintain effective working relationships across the Health System

Preferred Qualifications:

• Certified Case Manager Certification
• Knowledge of University and medical center organizations, policies, procedures and forms