Case Manager RN - Utilization Review

Location: California - Napa
Duration: Full Time
Job ID: 21421487
Category: Case Mgmt RN Job
Company: ProEnlist
Contact: Kat Forester
Job Salary:   Competitive
Job Posted: 01/26/21

Case Manager RN - Utilization Review - 21421487

Position Overview:

The RN Case Manager is responsible for carrying out effective case management functions for identified patients by planning, coordinating, negotiating, procuring and managing the care and needs of complex patients and their families throughout the continuum of [link removed], Chronic Disease Case Management based on inpatient settings.


Qualifications: 
  • Bachelor degree in Nursing (BSN)
  • Two (2) years of combined clinical experience in an acute care hospital setting 
  • Experience in case management, discharge planning, or utilization management experience in the acute, sub-acute, home health setting or managed care environment
  • CCM or ACM Case Management certification
  • Exceptional communication and interpersonal skills
  • Competent nursing assessment skills
  • Sensitivity to the needs and situations of a multicultural population from a variety of income levels
  • Strong organizational skills and ability to effectively present written and verbal information
  • Proficiency with computers and telecommunication devices, such as smart phones
  • Application of safety principles when performing duties
  • Demonstrates ability to maintain fiscal responsibility in service utilization
  • Ability to perform duties and responsibilities in an independent manner with little direct supervision, and complete job duties and responsibilities in a timely, accurate, thorough manner •Models professionalism through effective time management, efficiency and a positive team approach
  • Flexibility and an ability to adapt to changing and evolving hospital and departmental priorities 

License / Certification:
  • Current California RN license
  • Current Healthcare Provider BLS certification, preferred