Sharp HealthCare Case Manager II in Chula Vista, California

  • Summary *

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 Management department is an integrated department that includes Case Management, Social Services, Pastoral Care, Quality Improvement and Diabetes Management. Case Management works collaboratively with the healthcare team, social services and other disciplines to facilitate effective throughput, manage length of stay, as well assists with effective, safe and timely discharge planning.

Sharp Chula Vista Medical Center is a 343-bed hospital with the largest array of health care services in San Diego's South Bay. A Designated Planetree Patient-Centered Care Hospital, Sharp Chula Vista is home to the region's most comprehensive heart program and also offers exceptional services for orthopedic care and women and infants. The Douglas & Nancy Barnhart Cancer Center offers patients the most advanced treatment technology, a unique healing environment and an extraordinary level of care .

  • Essential Physical Requirements may include *

  • Sitting

  • Keyboarding

  • Moving

  • Lift up to 10 pounds

  • Push/Pull up to 25 pounds

  • Carry up to 10 pounds

Additional 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.

Keywords: 86709, Case Manager II, Case Management, RN, Registered Nurse, Clinical Nurse, RN Case Management, Case Manager, Utilization Review, UR, Nursing Jobs, Chula Vista, San Diego

  • Location *

This position is located in Chula Vista, CA (San Diego County)

  • Hours *

8-hour day shift, 8:00 am - 4:30 pm; every other weekend

  • 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 and Allscripts

Job: *Case Manager Jobs

Organization: *87500 - Case Management

Title: Case Manager II

Location: Chula Vista-Chula Vista Medical Center

Requisition ID: 86709