RN Case Manager
hace 2 días
Loma Linda
Job Description Job Title: RN Case Manager Job Description The RN Case Manager coordinates patient care across the continuum in an acute, Level I trauma hospital setting. This role focuses on conducting comprehensive initial assessments, developing safe and viable discharge plans, and collaborating closely with a multidisciplinary team to ensure appropriate, efficient, and patient-centered care. The RN Case Manager applies strong clinical judgment, case management methodologies, and utilization management principles to support high-quality outcomes and appropriate use of healthcare resources. Responsibilities • Conduct thorough initial case management assessments for patients in observation or inpatient levels of care to identify discharge planning needs and care coordination requirements., • Develop safe, viable, and individualized discharge plans in collaboration with patients, family members, and caregivers to ensure continuity of care after hospitalization., • Coordinate care across the continuum by working closely with the multidisciplinary team, including physicians, nurses, therapists, social workers, and other care team members., • Participate actively in multidisciplinary rounds to review patient progress, update plans of care, and refine discharge planning based on evolving clinical needs., • Collaborate with utilization review nurses to monitor and support authorization of care, ensuring appropriate level of care and timely approvals., • Partner with case management assistants to manage and facilitate the post-acute referral process, including placement in skilled nursing, rehabilitation, home health, or other post-acute services., • Complete utilization reviews when needed or assigned, applying established criteria to support medical necessity and appropriate resource utilization., • Ensure medical appropriateness and medical necessity criteria are met and clearly documented for level of care from admission through discharge., • Apply a solid working knowledge of case management and utilization management methodologies and practices to daily decision-making and patient care activities., • Use clinical expertise, discretion, and independent judgment in performing the nursing processassessment, care planning, intervention, and evaluationwithin a patient-centered care professional practice model., • Develop and oversee implementation of an interdisciplinary plan of care that integrates an individualized, comprehensive discharge plan aligned with the patients ongoing healthcare needs., • Reevaluate plans of care regularly and adjust discharge planning and care coordination strategies based on changes in the patients condition, needs, and goals., • Engage in opportunities to directly or indirectly influence decision-making related to bedside clinical practice and case management processes., • Maintain a positive mindset and adaptability in response to changes in workforce, clinical practice, and operational settings., • Work efficiently and calmly in a fast-paced environment, responding courteously and professionally under pressure., • Demonstrate strong communication and interpersonal skills when meeting with patients, families, and other designated participants in care to explain plans, address concerns, and support informed decision-making., • Assist with authorization of post-acute care services, ensuring timely and appropriate transitions to the next level of care., • Support a culture of continual learning and professional development within the case management team and broader care environment. Essential Skills • Active and unencumbered California Registered Nurse (RN) license., • Bachelors degree in Nursing (BSN) required., • Current Basic Life Support (BLS) certification provided by the American Heart Association., • Minimum of 2 years case management experience in a Level I trauma facility., • Minimum of 2 years inpatient acute care experience in a non-ED, non-clinic setting., • Minimum of 1 year hospital case management or hospital utilization management experience., • Demonstrated experience in discharge planning and care coordination in an acute care environment., • Strong working knowledge of case management and utilization management practices, methodologies, and criteria for medical necessity and level of care., • Knowledge of state and federal healthcare regulations and accreditation standards related to case management and utilization management., • Ability to perform comprehensive assessments, develop care plans, implement interventions, and evaluate outcomes using the nursing process., • Proven ability to work efficiently in a fast-paced, acute care setting while exercising independent clinical judgment., • Excellent communication and collaboration skills for working with multidisciplinary teams, patients, and families., • Ability to remain calm, courteous, and professional under pressure and during complex or challenging situations., • Strong organizational and time-management skills to manage multiple patients, tasks, and priorities. Additional Skills & Qualifications • Nationally recognized certification in Utilization Management or Case Management is preferred., • Experience in a large tertiary academic medical center is highly valued., • Familiarity with professional practice models such as Duffys Quality-Caring Model or other patient-centered care frameworks., • Experience with care coordination, utilization review, and post-acute referral processes in a trauma Level I acute care setting., • Demonstrated ability to adapt to changes in clinical practice, workforce dynamics, and operational processes., • Commitment to continual learning, professional growth, and participation in a large, collaborative case management team., • Alignment with a mission-driven healthcare environment that emphasizes ethical practice, compassionate care, and ongoing education. Work Environment This position is based in a large, 400-bed tertiary academic medical center with a Level I trauma designation and an acute care setting. The RN Case Manager works primarily on inpatient nursing units and participates in multidisciplinary rounds and team conferences. The schedule includes an AM shift, typically from 8:30 a.m. to 5:00 p.m., with a requirement to work every other weekend. The organization maintains a fast-paced, high-acuity environment where case managers collaborate closely with utilization review nurses, case management assistants, and a broad range of clinical disciplines. The medical center emphasizes continual learning and professional development, offering opportunities for career progression within a large case management team. The culture supports patient-centered care, interdisciplinary collaboration, and evidence-based practice in a professional clinical setting. Job Type & Location This is a Contract position based out of Loma Linda, CA. Pay and Benefits The pay range for this position is $50.00 - $75.00/hr. Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Loma Linda,CA. Application Deadline This position is anticipated to close on Oct 9, 2026. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service. The company is an equal opportunity employer and will consider all applications withoutregard to race, sex, age, color, religion, national origin, veteran status, disability,sexual orientation, gender identity, genetic information or any characteristic protectedby law. If you would like to request a reasonable accommodation, such as the modification oradjustment of the job application process or interviewing process due to a disability,please email actalentaccommodation@actalentservices.com for other accommodation options. San Francisco Fair Chance Ordinance:Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in thecity and county of San Francisco, we will consider for employment qualified applicantswith arrest and conviction records. Massachusetts Lie Detector:It is unlawful in Massachusetts to require or administer a lie detector test as acondition of employment or continued employment. An employer who violates this lawshall be subject to criminal penalties and civil liability. Use of Artificial Intelligence (AI):We may use Artificial Intelligence (AI) to support parts of our hiring process,including sourcing, screening, and evaluating candidates. AI helps assess applicationsand qualifications, but final decisions are made by our hiring team. By applying, youacknowledge and agree that your application may be reviewed using AI tools.
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