RN Case Manager/Utilization Review Emergency Room, Care Coordination, Full Time, Days

ABOUT MARINHEALTH
Are you looking for a place where you are empowered to bring innovation to reality? Join MarinHealth, an integrated, independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team, an affiliation with UCSF Health, an ever-expanding network of clinics, and a new state-of-the-art hospital, MarinHealth is growing quickly. MarinHealth comprises MarinHealth Medical Center, a 327-bed hospital in Greenbrae, and 55 primary care and specialty clinics in Marin, Sonoma, and Napa Counties. We attract healthcare’s most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospital's personalized, caring touch. 

MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others. 

Company:

Marin General Hospital dba MarinHealth Medical Center

Compensation Range:

$66.03 - $99.04

Work Shift:

8 Hour (days) (United States of America)

Scheduled Weekly Hours:

40

Job Description Summary:

The RN Case Manager, in collaboration with members of the healthcare team, leads the development and implementation of the interdisciplinary plan of care for patients, determining the appropriate level of care, supervising the provision of the discharge plan of care, and ensuring the effective quality and cost-efficient outcomes by performing concurrent and retrospective case review. This position functions as the key linkage between the physician, staff, and hospital leadership in the day-to-day management of appropriate and efficient patient care and functions as an advisor to the physician with accountability to escalate cases to the Medical Director (as necessary) to ensure the provision of appropriate and effective patient care.

Job Requirements, Prerequisites and Essential Functions:

EDUCATION
Bachelor of Science degree in Nursing preferred.

EXPERIENCE
1. Three (3) or more years of experience in an acute patient care setting preferably in medical/surgical or critical care.
2. Substantial recent experience in utilization review and/or discharge planning in an acute care setting is strongly preferred.
3. Broad clinical background strongly preferred.
4. Experience demonstrating effective functional supervision and leadership skills preferred.

LICENSURE AND CERTIFICATIONS
Registered Nurse Required at hire
Basic Life Support Required at hire
Integrative Agitation Management (IAM) Required within 30 days of hire

PREREQUISITE SKILLS
1. Must have the ability to read, write, and follow English verbal and written instructions, and have excellent oral and written communication, interpersonal, problem-solving, conflict resolution, presentation, time management, positive personal influence and negotiation skills.
2. Leadership skills to delegate, functionally supervise, provide direction/guidance to staff and hold others accountable are required.
3. Must have the ability to work independently with a minimum of direction, anticipate and organize work flow, prioritize and follow through on responsibilities.
4. Must have strong clinical assessment and critical thinking skills necessary to provide utilization review/discharge planning services appropriate to patients with complex medical, emotional and social needs.
5. Strong attention to detail and accuracy is required.
6. Must have the ability to work in a high volume case load environment and deal effectively with rapidly changing priorities.
7. Demonstrated ability to work constructively with a broad spectrum of health care professionals is required.
8. Must be assertive and creative in problem solving, system planning and management.
9. Basic computer skills are required including use of Electronic Health Record.
10. Must be effective both as a team member and leader.

Reasonable accommodation(s) to qualified individuals with disabilities are available as part of the application step. If an accommodation is needed, please contact Human Resources at 415-925-7040 or email TalentAcquisition@mymarinhealth.org