Redlands Community Hospital Utilization Management

Hourly pay range: $49.98 min. - $72.47 max

This position reports to the Director, Case Management the Care Manager position is to support the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers. The role integrates and coordinates utilization management, care facilitation and discharge planning functions. The Care Manager is accountable for a designated patient caseload and plans effectively to meet patient needs, manage the length of stay, and promote efficient utilization of resources. In addition, the Care Manager helps drive change by identifying areas where performance improvement is needed (e.g., day to day workflow, education, process improvements, patient satisfaction) .

*Ability to meet all job & physical requirements as outlined in job description or as agreed through a work place accommodation.

EDUCATION/TRAINING/ EXPERIENCE:

1. BS degree in nursing from an accredited school of nursing preferred.
2. Three or more years strong clinical experience in clinical practice area to which assigned preferred.
3. Strong analytical, data management, and computer skills desired.

CERTIFICATIONS/LICENSES:

1. Current California State License as a Registered Nurse required.
2. Current CPR certification required.
3. Case Management (ACM or CCM) certification preferred.
4. MAB certification required within 3 months of hire if assigned to the Emergency department.