Case Manager II-BU - Sharp Grossmont - FT - Days

Posted 14 Days Ago
Be an Early Applicant
La Mesa, CA
Mid level
Healthtech
The Role
The RN Case Manager II coordinates and monitors comprehensive patient care plans, collaborating with interdisciplinary teams. This role involves balancing clinical needs with resource utilization while ensuring quality outcomes, requiring critical thinking, problem-solving, and mentorship of new hires.
Summary Generated by Built In

Hours:

Shift Start Time:

8 AM

Shift End Time:

4:30 PM

AWS Hours Requirement:

8/80 - 8 Hour Shift

Additional Shift Information:

Weekend Requirements:

As Needed

On-Call Required:

No

Hourly Pay Range (Minimum - Midpoint - Maximum):

$67.860 - $78.740 - $89.620


 

The stated pay scale reflects the range as defined by the collective bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network, United Nurses Associations of California/Union of Health Care Professionals, NUHHCE, AFSME, AFL-CIO.  Placement within the range is based on years of RN experience.

What You Will Do
The RN CM II assesses, develops, implements, coordinates and monitors a comprehensive plan of care for each patient/family in collaboration with the physician, social worker and all members of the interdisciplinary team in the inpatient and emergency department patient care areas. This position requires the ability to combine clinical/quality considerations with regulatory/financial/utilization review demands to assure patients are receiving care in the appropriate setting and level of care. The position creates a balance between individual clinical needs with the efficient and cost-effective utilization of resources while promoting quality outcomes. This position requires critical thinking and advanced problem-solving and time management skills. The CM II will partner with ICM leadership to mentor and precept new hires (CMI, SW, LVN Care Coordinators and CRCs).
Required Qualifications

  • Bachelor's Degree in Nursing or equivalent degree.
  • 2 Years recent pertinent clinical experience as defined by the CBA.
  • 3 Years acute care nursing experience or case management experience.
  • 3 Years case management, utilization review, care coordination experience.
  • California Registered Nurse (RN) - CA Board of Registered Nursing

Preferred Qualifications

  • Master's Degree
  • Certified Case Manager (CCM) - Commission for Case Manager Certification -PREFERRED
  • Accredited Case Manager (ACM) - American Case Management Association (ACMA) -PREFERRED

Knowledge, Skills, and Abilities

  • Advanced PC, data management and analysis skills required (experience with MCG an asset).
  • An understanding and knowledge of payer eligibility and reimbursement regulations and impact on the continuum of care.
  • Knowledge of use of community resources to coordinate safe discharges from acute care and the ED settings.
  • Excellent interpersonal skills, as demonstrated by the ability to work effectively with individuals and or teams, and across disciplines.
  • Excellent communication and negotiation skills as demonstrated in oral and written forms.
  • Ability to work in a collaborative partnership model with Social Workers and other members of the interdisciplinary team, both internal and external. Organizational and time management skills, as evidence by capacity to prioritize multiple tasks.
  • Ability to mentor and lead a team.

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class.

Top Skills

Nursing
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The Company
San Diego, , CA
10,829 Employees
On-site Workplace
Year Founded: 1946

What We Do

Sharp HealthCare is a not-for-profit health care system based in San Diego, California, with four acute care hospitals, three specialty hospitals, three medical groups and a health plan. We provide medical services in virtually all fields of medicine, including primary care, heart care, cancer, orthopedics, stroke/neurology, women’s health, rehabilitation, robotic surgery, bariatric surgery, chemical dependency and behavioral health.

Sharp sets the community standard for exceptional care. Sharp Chula Vista Medical Center, Sharp Grossmont Hospital and Sharp Memorial Hospital have received the prestigious Magnet recognition by the American Nurses Credentialing Center for excellence in nursing practices and quality patient care.

At the heart of our organization are more than 20,000 nurses, staff, affiliated physicians, and volunteers who are on a journey to make health care better for our patients and their families. It’s what we call The Sharp Experience – treating each person with dignity, compassion and respect, and using our clinical excellence and advanced technology to deliver the highest-quality patient care. We are dedicated to transforming the health care experience by making Sharp the best place to work, the best place to practice medicine and the best place to receive care in San Diego

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