Case Manager/Care Manager (RN)
CARE MANAGER POSITION SUMMARY
The RN Care Manager coordinates, negotiates and manages patient throughput to achieve positive patient outcomes in a cost effective matter. Promotes the highest standards of business ethics and integrity. Has a strong ability to develop and collaborate with all team members in the throughput process.
Current and Valid License in the State of California as a Registered Nurse.
Bachelor's Degree required; Master's preferred.
One year case management or utilization review experience preferred.
Current BLS Card issued by American Heart Association.
ACM certification preferred.
QUALIFICATIONS/JOB REQUIREMENTS AND EXPERIENCE:
A minimum of3 years acute care hospital nursing experience preferred.
Previous case management experience in an acute care setting preferred.
Working knowledge of current clinical, regulatory, accrediting, and third party payor standards (i.e. Medicare, MediCal, and other Third Party Payor regulations).
Proficiency in InterQual Criteria.
Effective and efficient communication skills (written, verbal, and/or computerized). Must be able to use verbal, non-verbal and written communication skills which reflect nursing standards.
Knowledge of current utilization/quality management principles, techniques and procedures to include proficiency with hospital applications such as SoftMed, InterQual, all Microsoft applications.
Computer literacy a must.
Ability to work as an effective member of an interdisciplinary care team as a consensus builder.
Ability to work independently with minimal supervision; assuming professional responsibility and accountability for all actions.
Strong organizational and time management skills.
Demonstrates knowledge of proper documentation.
With four hospitals in Northern California and two in Southern California, Verity partners with our community physicians to provide quality, compassionate care to our patients and their family members. Verity Health is a new name, but with years of history behind it. Our company is built on the promise of progress and transformation, and we are in the middle of a transformation. With our new growth and direction, we are looking for great talents to join our team. We are headquartered in Redwood City, CA.