Disease Management Case Manager coordinates the overall interdisciplinary plan of care for a patient in a disease management program, from admission to discharge. Acts as a liaison between patient/family, employer and healthcare personnel to ensure necessary care is provided promptly and effectively. Being a Disease Management Case Manager responsibilities include but are not limited to documenting case progress, identifying health risks, and reporting the findings of the case study at appropriate intervals. Requires an associate's degree/bachelor's degree, and is licensed to practice nursing. Additionally, Disease Management Case Manager typically reports to a supervisor or manager. Disease Management Case Manager's years of experience requirement may be unspecified. Certification and/or licensing in the position's specialty is the main requirement. (Copyright 2024 Salary.com)
A fantastic career opportunity for Nurse Manager of Care Management and Utilization Review is now available with a prestigious healthcare system in beautiful, warm and coastal Northern California!
The Nurse Manager of Care Management and Utilization Review will join a full-service, non-profit community hospital, offering comprehensive medical, surgical and therapeutic services. The hospital provides innovative, technologically advanced care on a patient-friendly, easy-access campus in the community. They also accomplished Excellence Award for Stroke Care and ranked in the top 10 percent in the nation for spine surgery
The Nurse Manager of Care Management will need a thorough understanding of clinical, financial, administrative, and psychosocial components of the healthcare continuum. The Nurse Manager of Case Management will be responsible for providing assessments, planning, interventions and follow-up for patients and family members across the continuum of care.
In conjunction with the interdisciplinary team, the Nurse Manager of Case Management and Utilization Review will proactively address potential or actual clinical and/or psychosocial needs identified through screening to ensure developmental, level of care and health status transitions are safe, seamless, and coordinated. These services are provided face to face or telephonically to facilitate the creation of and adherence to, a treatment plan and optimize patient health.
The Nurse Manager of Case Management and Utilization Review should have experience with disease management, application of motivational interview techniques and competency in computerized documentation systems with 3-5 years in Care/ Case Management applying a working knowledge of community resources, entitlement programs, and experience working with uninsured/underinsured patient populations is preferred.
The ideal candidate for Nurse Manager of Care Management and Utilization Review will have experience with utilization review/ management with a working knowledge of InterQual criteria is strongly preferred. Minimum of 5 years of acute care clinical experience, preferably in one or more of the hospital’s service lines is required. Bachelor's degree in Nursing or Health Administration or Master's in Nursing, Health Administration, Case management is required. CA RN license is required.
The Nurse Manager of Care Coordination and Utilization Review will have a family of healthcare professionals who not only enjoys outstanding benefits and professional growth opportunities, but also an environment noted for diversity, community involvement, intellectual excitement, artistic pursuits, and natural beauty. As an employee, you will enjoy generous benefits and work/life programs. Join the reputable team now!
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0 Disease Management Case Manager jobs found in San Francisco, CA area