Job Description

Payroll Title:
CASE MGR EX
Department:
Care Management
Salary Range
Commensurate with Experience
Worksite:
La Jolla Medical Center
Appointment Type:
Career
Appointment Percent:
100%
Union:
HX Contract
Total Openings:
1
Work Schedule:
Days, 8 hr shifts, Mon-Fri, rotating weekend

As a federally-funded institution, UC San Diego Health maintains a marijuana and drug free campus. New employees are subject to drug screening.

#118777 (RN) Care Manager - La Jolla

Initial Review Date: Thu 9/22/2022

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 9/13/2022 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.

Special Selection Applicants: Apply by 9/22/2022. Eligible Special Selection clients should contact their Disability Counselor for assistance.

DESCRIPTION

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.

Our Care Managers are essential members of our healthcare team who positively affect our patient and organization outcomes. UCSD is a tertiary level acute hospital, so the Care Managers coordinate care for medically complex patients allowing them to use their strong critical thinking skills and creative discharge planning. The Care Management Department is comprised of highly skilled Care Managers and Social Workers to provide excellent patient care for our diverse and complex patient population. This dynamic department continues to expand and grow every year adding more valuable team members.

Under general supervision, the RN Care Manager is responsible for facilitating the patient's hospitalization from pre-admission through discharge. The Care Manager coordinates with physicians, nurses, social workers and other healthcare providers to expedite medically appropriate cost effective care. The Care Manager applies clinical expertise and medical appropriateness criteria to resource utilization and discharge planning. The Care Manager will communicate with administration and the healthcare team as needed to facilitate patient care.

MINIMUM QUALIFICATIONS

  • Must be a graduate from an accredited school of Nursing.

  • Registered Nurse (RN) license issued by the State of California.

  • BLS at time of hire with commitment to get BART within six (6) months of hire date.

  • Prior case management experience in an acute care hospital. If limited pool of qualified applicants, department is willing to consider and train candidates without acute case management experience who have a minimum of three (3) years recent acute care RN experience; Med/Surg, PCU, ED experience preferred.

  • Demonstrated utilization review/discharge planning experience.

  • Strong interpersonal skills, leadership, negotiation skills, and knowledge of hospital operations.

  • Proven experience and proven skills in conflict management and resolution.

  • Proficiency in information systems, databases, and programs including MS Office: Word, Excel, Outlook, and PowerPoint, etc.

  • Must have fast and accurate typing and data entry skills.

PREFERRED QUALIFICATIONS

  • BSN/MSN

  • ACM and/or CCM certificate.

  • Three to five (3 - 5) years clinical RN experience in an acute care setting.

  • UCSD RN experience; Med/Surg, PCU, ED preferred.

  • Previous supervisory/management experience.

  • Experience with Epic, ECIN, InterQual.

  • Knowledge of payer industry, resource management, reimbursement, and evidence-based clinical practice.

SPECIAL CONDITIONS

  • 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.

UC San Diego Health was recently ranked 3rd nationally out of 101 members in the Comprehensive Academic Medical Centers cohort to be recognized for demonstrating excellence in delivering high-quality care. The ranking is based on the Vizient Quality and Accountability dashboard which measures safety, mortality, clinical effectiveness, efficiency and patient centeredness.

Our employees enjoy competitive compensation packages in a diverse, stimulating workforce. These positions are eligible for full benefits first day of hire, including but not limited to:
* Health/Dental/Vision insurance
* 15 vacation days, 12 sick days, and 14 paid holidays per year
* Work life balance
* UC Retirement Plan
* Pet insurance


Job offer is contingent on successful engagement in the UC COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable.

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, the only Burn Center in the county, and and dozens of outpatient clinics. We invite you to join our team!

Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.

To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit UC San Diego Principles of Community.

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.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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