Registered Nurse/Case Manager

Job Opportunity in Roseville, CA

Join our dedicated healthcare team in Roseville, CA, where you can make a significant impact on patient care and experience. We are seeking a skilled professional with a passion for case management in an acute care setting.

Requirements

• Current California Registered Nurse (CA RN) license
• Minimum of 2 years of experience
• Must have experience in acute case management in California (excluding healthcare sectors such as outpatient case management, home health, or health plan case management)
• Available to work Monday to Friday with no weekends or on-call duties

Skills and Knowledge

• Broad knowledge base of healthcare delivery and case management within a managed care environment
• Comprehensive knowledge of Utilization Review, levels of care, and observation status
• Awareness of healthcare reimbursement systems: HMO, PPO, PPS, CMS, value-based reimbursement models, and alternative payment systems preferred
• Working knowledge of laws, regulations, and professional standards affecting case management practice in an integrated delivery system, including but not limited to CMS, Title 22, CHA Consent Manual, CDPH, and TJC
• Broad knowledge base of post-acute levels of care and associated regulatory compliance requirements
• General understanding of coding and DRG assignment process preferred
• Effective communication skills to promote cooperation and collaboration between patients, families, caretakers, physicians, nurses, and other ancillary partners
• Ability to work independently and exercise sound judgment in interactions with physicians, payers, and patients and their families
• Commitment to service excellence in all interactions and job responsibilities
• Functions to promote quality patient care and assure a positive patient experience
• Strong verbal and written communication and negotiation skills
• Excellent time management skills for developing organized work processes in a high-volume environment with rapidly changing priorities
• Intermediate computer and technology skills
• Ability to promote teamwork and effectively function in teams
• Effective interaction with key internal and external constituents using collaboration and customer service skills that promote excellence in the patient experience

If you are ready to take your career to the next level and contribute to a team committed to excellence in patient care, we encourage you to apply for this exciting opportunity in Roseville, CA.