111661 - (RN) Ambulatory Complex Case Manager
As a federally-funded institution, UC San Diego Health maintains a marijuana and drug free campus. New employees are subject to drug screening.
#111661 (RN) Ambulatory Complex Case ManagerFiling Deadline: Thu 12/2/2021
For the safety and well-being of the entire university community, the University of California requires, with few exceptions, that all students, faculty and staff be vaccinated against the COVID-19 virus and influenza before they will be allowed on campus or in a facility or office. For more information visit: Flu Vaccine Mandate / COVID Vaccine Policy
UCSD Layoff from Career Appointment: Apply by 09/15/2021 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.
Special Selection Applicants: Apply by 09/24/2021. Eligible Special Selection clients should contact their Disability Counselor for assistance.
The preferred qualifications of this position have been slightly modified as of 9/23/2021.
UC San Diego Health is a Magnet designated organization, which is a prestigious recognition that applies to only 10% of all U.S. hospitals. Magnet is the "gold standard" for nursing excellence and is based on strengths in five key areas, which include transformational leadership, structural empowerment, exemplary professional practice, new knowledge, innovation and improvements and empirical outcomes. UC San Diego Health has held its Magnet status since 2011.
Under the general supervision of the High Risk Program Manager, the Ambulatory Complex Case Manager is responsible for our high risk patients and our adverse selected members in compliance with Health Plan and CMS regulations and delegation. Will work closely with our Medical Director and High Risk Program Manager. To be highly visible and engage in the Clinics, Clinic Managers, and Physician Leadership. The Case Manager applies clinical expertise and medical appropriateness criteria to resource utilization, discharge planning and follow up. Will attend regular onsite conferences with Case Managers, Clinic Staff, and other community partners as needed.
While not required, a cover letter is highly recommended when applying to this position.
Must be a graduate from an accredited school of Nursing.
Registered Nurse (RN) license issued by the state of California.
Prior case management, utilization review, and discharge planning experience. Willing to consider candidates without case management experience who have three (3+) or more years of recent acute care clinical RN experience.
Strong interpersonal skills.
Proficiency in Information Systems and computer programs including MS Office (Word, Excel, Outlook, PowerPoint, etc.).
- Three (3+) or more years of clinical RN experience.
- Proven home care, managed care, or similar case management experience.
- Experience with case management of oncology patients or other high-risk disease states.
- Must be able to work various hours and locations based on business needs.
- Employment is subject to a criminal background check and pre-employment physical.
- This position will be a hybrid of work from home and on-site, with more being work from home once new hire is capable with their CCM knowledge.
Job offer is contingent on successful engagement in the UC COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).
UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, and several outpatient clinics. UC San Diego Medical Center in Hillcrest is a designated Level I Trauma Center and has the only Burn Center in the county. We invite you to join our dynamic team!
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UC San Diego Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity or sexual orientation. For the complete University of California nondiscrimination and affirmative action policy see: http://www-hr.ucsd.edu/saa/nondiscr.html
UC San Diego is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information.