Job Information
Actalent RN Case Manager in San Francisco, California
Description:
he RN Case Manager is responsible for Care Coordination, Care Transitions, Discharge Planning and Utilization Management throughout the acute care patient experience • The RN Case Manager works in collaboration with the Physician, Medical Social Worker and bedside RN to assure the timely movement of patients to the appropriate level of care to prevent unnecessary admissions or readmissions • Oversees the management of acute patient populations across the care continuum with the primary focus to provide coordinated, timely and integrated care • The RN Case Manager reports to either the Supervisor or Manager or Director of Care Coordination in each facility • The RN Case Manager has frequent contact with patients, families, physicians, the interdisciplinary team, nursing management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and community resources • General Knowledge of coding and DRG assignment process preferred • Must be able to effectively communicate with and promote cooperation and collaboration between individuals including patients/families/caretakers, physicians, nurses and other ancillary partners • Ability to work independently and exercise sound judgment in interactions with physicians, payers, and patients and their families • Demonstrates commitment to service excellence in all patients, family and employee interactions and in performing all job responsibilities • Functions in a manner to promote quality patient care and assure a positive patient experience
Skills:
Utilization review, interqual, Registered Nurse, Discharge planning, Epic
Top Skills Details:
Utilization review,interqual,Registered Nurse
Additional Skills & Qualifications:
6 months of acute care case management in a hospital setting CA RN License
Experience Level:
Intermediate Level
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
Diversity, Equity & Inclusion
At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
Hiring diverse talent
Maintaining an inclusive environment through persistent self-reflection
Building a culture of care, engagement, and recognition with clear outcomes
Ensuring growth opportunities for our people
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.