(RN) Care Manager - Hillcrest - 133080

UC San Diego Health is a Magnet designated organization, which is a prestigious recognition that applies to only 10% of all U.S. hospitals. Magnet is the "gold standard" for nursing excellence and is based on strengths in five key areas which include transformational leadership, structural empowerment, exemplary professional practice, new knowledge, innovation and improvements and empirical outcomes. UC San Diego Health has held its Magnet status since 2011.

Our Care Managers are essential members of our healthcare team who positively affect our patient and organization outcomes. UCSD is a tertiary level acute hospital, so the Care Managers coordinate care for medically complex patients allowing them to use their strong critical thinking skills and creative discharge planning. The Care Management Department is comprised of highly skilled Care Managers and Social Workers to provide excellent patient care for our diverse and complex patient population. This dynamic department continues to expand and grow every year adding more valuable team members.

Under general supervision, the RN Care Manager is responsible for facilitating the patient's hospitalization from pre-admission through discharge. The Care Manager coordinates with physicians, nurses, social workers and other healthcare providers to expedite medically appropriate cost effective care. The Care Manager applies clinical expertise and medical appropriateness criteria to resource utilization and discharge planning. The Care Manager will communicate with administration and the healthcare team as needed to facilitate patient care.

• Must be a graduate from an accredited school of Nursing.

• Registered Nurse (RN) license issued by the State of California.

• BLS at time of hire with commitment to get BART within six (6) months of hire date.

• Minimum of 3 years prior inpatient RN care manager experience in an acute care hospital, or a minimum of 3 years of inpatient RN experience in the acute care hospital setting with demonstrated knowledge in discharge planning, interprofessional communication, knowledge of post-acute care resources, excellent organizational and time management skills, and ability to prioritize, problem solve, and manage multiple tasks simultaneously, a minimum of 3 years combined inpatient RN care manager and inpatient RN experience in the acute care hospital setting, within the last 7 years.

• Demonstrated utilization review/discharge planning experience.

• Strong interpersonal skills, leadership, negotiation skills, and knowledge of hospital operations.

• Proven experience and proven skills in conflict management and resolution.

• Proficiency in information systems, databases, and programs including MS Office: Word, Excel, Outlook, and PowerPoint, etc.

• Must have fast and accurate typing and data entry skills.

• BSN/MSN
• ACM and/or CCM certificate.
• Three to five (3 - 5) years clinical RN experience in an acute care setting.
• UCSD RN experience; Med/Surg, PCU, ED preferred.
• Previous supervisory/management experience.
• Experience with Epic, ECIN, InterQual.
• Knowledge of payer industry, resource management, reimbursement, and evidence-based clinical practice.

• Must be able to work various hours and locations based on business needs.
• Employment is subject to a criminal background check and pre-employment physical.