A non-profit short-term acute
care hospital urgently seeks a RN Case Manager to join their
Utilization Review team in gorgeous Northern California!
Reporting to the Nurse Manager
of Case Management, the Case Manager Utilization Review will
collaborate with physicians, nursing staff, and hospital leadership
to develop interdisciplinary plans for patient care, thereby
ensuring quality and cost-efficient outcomes. The
RN Case Manager is also accountable for escalating special
cases to the Medical Director as necessary.
The RN Case Manager will be responsible for an average case load of
15-20 patients and cover a larger case load for discharges over
weekends. The Utilization Review Nurse begins discharge planning
upon patient admission to ensure the appropriate level of care for
hospital reimbursement. In particular, the Case Manager RN will
work to decrease Medicare denials related to Two-Midnight Rule
This hospital is a designated Trauma Center and provides a
comprehensive range of medical services and high quality care,
including Orthopedics, General Surgery, OB/GYN, Urology, Pain
Management, Robotics, and Diagnostic Imaging. Consistently
recognized for maintaining a healing environment, the hospital
features a four-season healing garden, where staff, patients and
their families can find peace of mind and rebuild their
Perfect for raising a family or just relaxing in the outdoors,
the All-American city surrounding the hospital offers clean air,
affordable housing and a strong school system. With national parks,
natural lakes and world-class trails to explore right in your
backyard, there is no excuse not to enjoy the many outdoor
activities Northern California has to offer.
This stable, respected medical
center is prepared to offer the qualified RN Case Manager a competitive salary and full suite of benefits
including generous retirement plan matching and PTO.