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Registered Nurse (RN), Case Manager III, Inpatient Care Management - FT/Days (8hr) w/ Sign-On $10,000 - Long Beach


Location: Long Beach, California

Schedule: Full-time

Shift: Full-time

Job Listing: LON009374

Essential Job Outcomes & Functions Care Management

The care manager independently manages a specific case load of patients as identified by the Care Coordination Department.  The care manager analyzes patient information and assess each patient’s functional status and decision making ability in relation to the continuum of care and discharge needs. The care manager collaborates with the health care team, patient, and family in planning and facilitating the achievement of expected outcomes for patients. Each treatment plan is evaluated for appropriate quality outcomes and utilization of resources. Continuum of Care/Quality The care manager works collaboratively with the health care team to provide education, resources, and referrals as needed for each patient and their family or care taker.

The care manager facilitates coordination among health care professionals, services, and settings involved in the patient’s care, with a focus on enhancing patient satisfaction. The care manager actively communicates with nursing leadership, CareLine physician directors, and Medical Directors on quality issues. As appropriate, concerns are referred to various Medical Staff Committees and CareLines through required documentation, including but not limited to the Clinical Pertinence Review Form. The care manager has the responsibility to maintain professionalism and provide ongoing education to the health care team regarding the case manager’s role.

Utilization Management: The care manager incorporates knowledge of medical necessity, CareLine protocols, and MAPs to evaluate for appropriateness of admissions, continued stay, and discharges. The case manager refers cases, as appropriate, for review to the Combined Utilization Management Committee and other Medical Staff Committees as needed.

Pay Range: $45.61/hr - $70.34/hr

Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards.

Minimum Requirements / Work Experience

  • This position requires strong verbal and written communication skills with the ability to communicate well with people from diverse socioeconomic backgrounds.
  • The care manager is knowledgeable of criteria for medical necessity for each level of care through the continuum of care. A knowledge of reimbursement related to MediCare, MediCal, Capitation, and Managed Care is required.
  • Three years experience in clinical field of expertise with two years experience in an acute setting is preferred.
  • Current California License in field of expertise.
  • Bachelors degree in health related field.

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Photo of Brindilyn Berger
"I love working at Miller Children's & Women's Hospital Long Beach because I value working for a company that invests in its employees and the community we serve. From the support and guidance I receive from managers who value my professional and personal growth; to being able to work alongside colleagues who are dedicated to help their patients and families. I feel inspired every day to do the work that I love alongside people who share a similar vision."
- Brindilyn Berger, Child Life Specialist

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