Sharp HealthCare

We are San Diego's health care leader.

SRS - Case Manager-Population Health – RN

Program ManagerProgram ManagerFull TimeRemoteTeam 10,001+Since 1946H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

12 days ago

Salary

Not specified

No structured requirement data.

Job Description

This role involves the timely and appropriate coordination of quality healthcare services to meet an individual's specific health needs in a cost-effective manner to promote positive outcomes. It includes a collaborative process of assessment, planning, facilitation, and advocacy for options and services through communication and available resources. Addresses care that is client-centered, with mutual goals. Promotes stewardship of resources for the client and healthcare system.

Job Requirements

  • 5 Years Acute care or clinical experience in area of specialty.
  • 2 Years Utilization/Case Management experience, preferably in a Managed Care setting.
  • California Registered Nurse (RN) - CA Board of Registered Nursing - REQUIRED.
  • AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association - REQUIRED.
  • Preferred Qualifications
  • Bachelor's Degree in Nursing or in health-related field.
  • Certified Case Manager (CCM) - Commission for Case Manager Certification - PREFERRED.
  • Essential Functions
  • Data collection and thorough evaluation utilizing standardized tools.
  • Assessment information obtained by interviewing clients/families and healthcare team members.
  • Initial assessment completed within 24 hours of admission.
  • Document assessment and IQ/guideline review data per department standards.
  • Maintain adherence to performance indicators while performing services.
  • Advocate for clients and facilitate outcomes while prioritizing client needs.
  • Develop and implement a plan of care with measurable goals.
  • Engage clients/families in the planning process as primary decision makers.
  • Facilitate communication among clients, healthcare team members, and payers.
  • Document plan of care, goals, outcomes, and variances per department standards.
  • Typing Skills
  • Type a minimum of 30 words per minute with 0-2 errors.
  • Proof work.
  • Knowledge, Skills, and Abilities
  • Working knowledge of computer programs (Word and Excel).
  • Advanced clinical skills in area of expertise.
  • Proficient knowledge of utilization management and healthcare finances.
  • Skilled in conflict management and resolution.
  • Critical thinking skills.
  • Hours
  • Shift Start Time: 8 AM
  • Shift End Time: 4:30 PM
  • AWS Hours Requirement: 8/40 - 8 Hour Shift
  • Weekend Requirements: No Weekends
  • On-Call Required: No
  • Hourly Pay Range: $62.230 - $80.300 - $89.930

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