Care Manager I - Newport Beach, CA, United States
3 days ago
Job description
DescriptionPrimary Duties and Responsibilities
The Care Manager (RN) coordinate patients' needs through the continuum of care which can include from pre-admission through post discharge plans. This role works in collaboration with the physicians, nurses, clinical staff, and community agencies to identify and arrange for appropriate care.
Reviews clinician assessments and patients' financial, family and psychosocial support to develop comprehensive care and/or discharge plans. May focus more heavily on a specific aspect of Care Management like discharge planning, utilization review, and/or providing psychosocial support.
May review records to assess for appropriate admission status, level of care, payer source, and UR contracts to validate billing. May provide psychodynamic intervention and crisis counseling to support patients and families. Educates patients and families on their healthcare options and connects them with resources.
Documents pertinent patient issues, contacts and plans on the medical records. Is a mandated reporter for elder, child, and spousal abuse. The Community Care role specifically provides Care Management support to high-risk, homeless and mental health population. Performs other duties as assigned.
QualificationsEducation and Experience
Fulfills mandatory stroke education requirements per certification agency
Positions requirements depend on licensure and are as follows:
- Care Manager (RN) – Bachelor's degree in Nursing (BSN) required. Care Manager (RN)s at Magnet designated facilities only require a BSN or that a BSN program is started within one year of hire date and BSN degree is attained within two years of the starting the BSN program. One year of experience in an acute health care setting preferred.
License Required
- Registered Nurse (RN) license - for Care Manager I (RN) position
- Community Health: CA Driver's License
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