Manager Case Management

Riverside, California

First Connect Health
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Manager of Case Management
Riverside Community Hospital SCA
Full-Time - Admin Hours - Rotating Weekends
Salary Estimate: $142,771.20 - $214,032.00
Relocation Assistance: Case by Case.

What qualifications you will need:

Bachelors Degree in Nursing (BSN) required. Masters Degree (MSN) preferred.

Current California Licensed Registered Nurse

Minimum of 5 years case management in an acute hospital setting and/or nursing management experience in an acute hospital setting

Thorough knowledge of Case Management defined by established rules and regulations of federal and non-federal programs.

Working knowledge of both Interqual and M & R.

Understanding of hospital reimbursement as it relates to different payers such as Medicare, Medi-cal, Managed Care and private insurance plans.

Job Summary

The Manager of Case Management is a Registered Nurse with advanced training and experience in Case Management. This position reports to the Director of Case Management & Social Services. The Manager is responsible and accountable for monitoring the case management department's processes throughout the hospital utilizing the established tools, policies and procedures, and professional standards. The Manager will ensure the services provided are appropriate for the patient/family needs, meet regulatory compliance requirements and are congruent with the hospital's mission and vision. Defining characteristics of the position include: leadership, collaboration, consultation, education, and professional development.

You will assist with patient throughput, including but not limited to: assisting with evaluation of direct admits and monitoring and assisting with timely discharge planning.

You will develop, achieve and sustain positive relationships with all continuum of care providers including but not limited to: physicians; health plans; payers; patients / families; the healthcare team and all other customers.

Job Type: Full-time

Pay: $14,200.00 - $21,400.00 per year

Benefits:
401(k)
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Schedule:
Monday to Friday

Ability to Commute:
Riverside, CA 92501 (Required)

Ability to Relocate:
Riverside, CA 92501: Relocate before starting work (Required)

Work Location: In person
Date Posted: 08 April 2025
Job Expired - Click here to search for similar jobs