Manager of Case Management – Registered Nurse (RN)

Registered Nurse (RN) – Manager of Case Management  

POSITION TYPE: Registered Nurse (RN)

SPECIALTY UNIT: Manager of Case Management

LOCATION: San Jose, CA

SHIFT: Days

JOB TYPE: Full-Time Permanent

Job Description:

The Registered Nurse - Manager of Case Management shares accountability for facilitating organizational and department goals using effective leadership knowledge, skills and abilities that ensure achievement of expected results for patient/customer service, employee engagement, financial health, business growth and quality and safety outcomes.

Responsibilities:  

• Reports directly to the Director of Case Management and provides oversight to the Case management team.
• Responsible for coordinating, monitoring, executing and evaluating Case Management Department activities.
• Accountable for assisting hospital utilization performance improvement in order to promote effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management services.
• Utilization Management supporting medical necessity and denial prevention.
• Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction.
• Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care. 
• Compliance with state and federal regulatory requirements.
• Education provided to physicians, patients, families and caregivers.

Job Benefits:

• Competitive salary
• Direct Deposit
• 401K
• Comprehensive Health, Dental, and Vision benefits
• Employee discount program
• Excellent room for growth and advancement

Requirements:

• Active Registered Nurse (RN) license in state of practice.
• Graduate of an accredited school of nursing – BSN required.
• Two-years acute hospital case management experience required.  
• Five-years RN experience required.
• Supervisor/Management experience preferred.