(RN) Case Manager - Population Health - Hybrid

About the position

The RN Case Manager (CM) at UC San Diego Health will work in the Care Connections Hub, primarily handling post-discharge calls from patients who have recently been discharged from a hospital or skilled nursing facility. This role is crucial in ensuring patients understand their post-discharge instructions, medication reviews, and appointment confirmations, while also addressing any concerns that may lead to avoidable readmissions. The position operates in a hybrid model, requiring both remote and on-site work, particularly during the training period.

Responsibilities

• Handle post-discharge calls from patients to ensure understanding of discharge instructions.
• Review medications with patients and answer any questions they may have.
• Confirm that patients have appointments set and can attend them.
• Conduct difficult phone conversations and escalate issues as necessary to prevent readmissions.
• Work collaboratively with the Care Connections Hub team to provide support to patients post-discharge.

Requirements

• Must be a graduate from an accredited school of Nursing.
• Registered Nurse (RN) license issued by the state of California.
• Prior case management experience in a large acute care or community setting and/or utilization review experience in a hospital or IPA setting.
• Experience with MCG and/or InterQual guidelines.
• Strong teamwork and interpersonal skills.
• Proficiency in Information Systems and computer programs including MS Office (Word, Excel, Outlook, PowerPoint, etc.).

Nice-to-haves

• Bachelor of Science in Nursing (BSN) or Master of Science in Nursing (MSN).
• Accredited Case Manager (ACM) and/or Certified Case Manager (CCM) certification.
• Prior experience with referral processing, utilization review, and discharge planning.
• Proficiency in Electronic Health Records (EHR), preferably Epic.
• Three to five years of clinical RN experience in acute care or post-acute care/community settings.

Benefits

• Work from home flexibility after training period.
• Competitive salary range of $144,711 - $190,885 per year.
• Comprehensive health benefits including medical, dental, and vision insurance.