Required QualificationsOne year of case management experience or 1 year nursing leadership experienceCurrent Licensure as a Registered Nurse in the State of CaliforniaIn-depth knowledge and strong understanding of patient throughput, care coordination, and care planning processesAbility to assess medical stability for discharge and evaluate medical necessity for continued acute hospitalizationComputer/EMR Proficiency and LiteracyKnowledge of CMS, Medicare, Medi-Cal and Managed Care reimbursementFamiliarity of Joint Commission, CMS, CDPH requirementsExcellent written and verbal communication skills in EnglishAbility to establish and maintain effective working relationships across the organizationAbility to facilitate and lead interdisciplinary roundsPreferred QualificationsBachelor of Science in NursingCertified Case Manager (CCM)Acute Hospital Case Management ExperienceFamiliarity with AllScripts Care ManagementProficiency with Milliman Care Guidelines or InterqualBilingual skills to communicate effectively with patients and familiesEssential Job Functions / Major Areas of ResponsibilityThe essential functions below are not intended to be an exhaustive list of all duties that may be assigned to this position, nor does it restrict the duties which may be assigned to this position if such duties reasonably relate to the position. Makes timely and appropriate referrals to, and seeks consultation with others when needed, the patient-centered provision of services; such as Social Services (i.e., Durable Power of Attorney).Reviews medical necessity utilizing medical staff-approved evidence-based decision support criteria.