Utilization Review Rn Jobs in Carlsbad, CA (NOW HIRING)

Payroll Title:
CASE MGR PD Department:
Care Management Hiring Pay Scale
$91.52 / Hour Worksite:
Jacobs Medical Center Appointment Type:
Per Diem Appointment Percent:
20% Union:
HX Contract Total Openings:
1 Work Schedule:
Days, 8-Hour Shifts, Monday-Friday, some weekends, holidays
#140600 (RN) Care Manager - Per Diem - Care Management
Filing Deadline: Mon 8/31/2026
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UC San Diego values and welcomes people from all backgrounds. If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply.
DESCRIPTION
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.
MINIMUM QUALIFICATIONS

• 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 acute care management experience.
• Demonstrated utilization review/discharge planning experience.
• Proficiency in Epic and CarePort.
• Effective interpersonal communication and negotiation skills, leadership ability, and conflict management and resolution.
• Thrives and excels in a fast-paced, dynamic environment and committed to professional growth and ongoing departmental performance improvement.
• Demonstrated understanding of patient flow, and transitions to post-acute care and community based services.
• Proficiency in information systems, databases, and programs including MS Office: Word, Excel, Outlook, and PowerPoint, etc.
• Must have fast and accurate typing, data entry skills and proficiency with detailed written communication appropriate for electronic medical records.

PREFERRED QUALIFICATIONS

• BSN/MSN
• ACM and/or CCM certificate.
• Med/Surg, progressive care, or ED clinical RN experience.
• UCSD RN experience or RN experience in another academic medical center.
• Previous supervisory/management experience.
• RN experience in post-acute care facility or home health agency.
• Facile with Epic, ECIN (Allscripts) and/or Utilization Review / InterQual.
• Knowledge of local payers and coverage, reimbursement, and evidence-based clinical nursing practice.

SPECIAL CONDITIONS

• Must be able to work various hours and locations based on business needs.
• Must be able to work at least four 8-hour shifts in a 4-week scheduled period, including a minimum of one weekend shift.
• Employment is subject to a criminal background check and a pre-employment physical.

Pay Transparency Act
Annual Full Pay Range: $191,094 - $191,094 (will be prorated if the appointment percentage is less than 100%)
Hourly Equivalent: $91.52 - $91.52
Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).
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If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs, which may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements. If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable.
UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and dozens of outpatient clinics. We invite you to join our team!
Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.
To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit UC San Diego Principles of Community .
The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.
For the University of California's Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination
UC San Diego is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information.
UC San Diego Health maintains a marijuana and drug free environment. Employees may be subject to drug screening.
Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
a. "Misconduct" means any violation of the policies governing employee conduct at the applicant's previous place of employment, including, but not limited to, violations of policies prohibiting sexual harassment, sexual assault, or other forms of harassment, or discrimination, as defined by the employer. For reference, below are UC's policies addressing some forms of misconduct:

• UC Sexual Violence and Sexual Harassment Policy
• UC Anti-Discrimination Policy
• Abusive Conduct in the Workplace