RN Case Manager Full Time Days

Welcome to Doctors Hospital of Manteca!!! 

For over 50 years, Doctors Hospital of Manteca has provided superb clinical care to patients in the Central Valley of California. This care is deeply rooted in our belief that our patients expect and deserve to be treated in the same manner we would want for our own families and loved ones. We provide a broad range of services in collaboration with an exceptional Medical Staff, many of whom are Board Certified in their specific specialty. We strive to deliver these services with the highest level of clinical quality, with a sincere and humble appreciation for the critical role we play in the lives of our patients and our community. Thank you for choosing us. 

We offer competitive salaries and benefits including a 401(k), several health & dental plans to choose from, generous tuition assistance plans, and relocation assistance for select positions.  

Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services 

Wellbeing support, including employee assistance program (EAP) 

Time away from work programs for paid time off, long- and short-term plan coverage 

Savings and retirement  including a 401(k) Plan with a 50% match up to 6% of pay, employee stock purchase plan, flexible spending accounts, retirement readiness tools, rollover support, and financial well-being counseling 

Education support through tuition assistance, student loan assistance, certification support, and online educational program 

Additional benefits  life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection, and employee discount program 

Registered nurses – Retirement medical benefit account (RMBA) – 2% of annual eligible income set aside in accordance with program guidelines 

Benefits may vary by location and role 

www.doctorsmanteca.com/team 

 

Summary

The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right to self-determination.
The individual in this position has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to promote timely throughput, safe discharge and prevent avoidable readmissions.
This position integrates national standards for case management scope of services including:
Utilization Management supporting medical necessity and denial prevention
Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction
Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care
Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy
Education provided to physicians, patients, families and caregivers

Responsibilities

The individual’s responsibilities include the following activities:

• Accurate medical necessity screening and submission for Physician Advisor review,
• Care coordination,
• Transition planning assessment and reassessment,
• Implementation or oversight of implementation of the transition plan,
• Leading and facilitating multi-disciplinary patient care conferences,
• Managing concurrent disputes,
• Making appropriate referrals to other departments, h ) identifying and referring complex patients to Social Work Services,
• Communicating with patients and families about the plan of care,
• Collaborating with physicians, office staff and ancillary departments,
• Leading and facilitating Complex Case Review,
• Assuring patient education is completed to support post-acute needs ,
• Timely complete and concise documentation in Case Management system, n ) maintenance of accurate patient demographic and insurance i