RN Case Manager Full Time Days

Welcome to Emanuel Medical Center!

Since 1917, Emanuel has been the heart of healthcare in Turlock, California, providing incredible high-quality care with compassion to the patients we serve. We are so excited to bring you this same experience online!  Lately, we've been thinking a lot about what a hospital is- and what it CAN be. At its fundamental level, we know a hospital is a medical facility. But Emanuel Medical is more than a medical facility, we are a community resource that tries to help people live better, healthier lives. We invite you in to be part of our nearly 100-year tradition. Take a look around and see how we promote health and wellness while providing you the health care you expect and deserve. 

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.emanuelmedicalcenter.org/team 

Position Summary:

Performs technical and administrative work required to evaluate the necessity, appropriateness and efficiency of the use of medical services procedures within our acute care facility. Responsible for clinical review of all acute and outpatient services for appropriateness based on Interqual. This individual is responsible for the management of hospital resources necessary and appropriate for achievement of desired acute and observation outcomes for his/her assigned caseload, and the coordination of appropriate LOS along with assigned hospitalists.

1. Assesses appropriateness of inpatient admissions and stay utilizing Interqual, and through collaborative communications with secondary reviewers and hospitalists.

a. Responsible for management of patient care across the acute and outpatient health care continuum.

b. Performs admit screen for level of appropriateness.

c. Reviews discharge plans prepared by MSW/Discharge Planner.

d. Facilitates appropriate level of care through out the hospital stay through chart review and daily rounds on unit.

e. Identifies variations and outcomes deviations from plan of care, communicates impact on DC Plan to hospitalist and MSW/DC Planner.

f. Provides clinical case management for medically complex cases.

g. Assures accurate patient admission order throughout hospital stay. 

h. Provides Interqual discharge screen results when appropriate, communicates/collaborates with MSW/DC Planner to assure safe discharge. 

2. Actively participates in interdisciplinary team meetings, keeping team members informed of changes in patient condition, admission status, level of care, coverage issues and need for discharge.

a. Provides interdisciplinary team members with needed insurance information.

b. Identifies delays in services and facilitates appropriate resolution.

c. Utilizes Continued Stay or Episodic Review in Interqual to track acuity of each patient in caseload; works closely with hospitalists to reduce avoidable days.

d. Provides concise documentation in the medical record to facilitate communication between caregivers.

3. Responsible for clinical aspects of discharge planning for cases on assigned unit that require clinical
knowledge/expertise beyond the scope of knowledge of the MSW.

a. Identifies clinically high-risk patients and collaborates with MSW/DC Planner in development of discharge plan.

b. Refers psychosocially high-ri