Trinity Health

Reporting to the Lead Case Manager Emergency, Case Management, this position is accountable for beginning utilization review starting at the time patients access the hospital in the emergency room.. The case manager is responsible for utilization review, collaboration with physicians to facilitate disposition to the appropriate level of care within the hospital setting, ER, observation or inpatient using Inter-Qual criteria guidelines.. Self direction, organization, priority setting, critical thinking, problem solving and interpersonal skills to promote teamwork and patient care management starting at the time the patient presents to or accesses the hospital is required.. Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation.. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do.

emergency department

<h3>Employment Type</h3>
<p>Full time</p>
<h3>Shift</h3>
<p>Rotating Shift</p>
<h3>Description</h3>
<p>Reporting to the Lead Case Manager Emergency, Case Management, this position is accountable for beginning utilization review starting at the time patients access the hospital in the emergency room. The case manager is responsible for utilization review, collaboration with physicians to facilitate disposition to the appropriate level of care within the hospital setting, ER, observation or inpatient using Inter-Qual criteria guidelines. This position also is responsible for the initial assessment of the clinical condition of emergency room inpatient admissions for national evidenced based core measures.</p>
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<p>Current licensure as a Registered Nurse in the State of California is required.</p>
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<p>At least 3-5 years of clinical nursing experience in an acute care medical center is required.</p>
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<p>Utilization review, discharge planning or case management experience and BSN is preferred.</p>
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<p>Knowledge and/or familiarity with community resources, outside professional agencies, federal and state regulations governing hospital and home care as well as understanding the financial structure of health plans and delivery systems is preferred.</p>
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<p>Self direction, organization, priority setting, critical thinking, problem solving and interpersonal skills to promote teamwork and patient care management starting at the time the patient presents to or accesses the hospital is required.</p>
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<p>Current American Heart Association (AHA) Healthcare Provider CPR card is required.</p>
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<p>CCM national certification is preferred.</p>
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</ol>
<p>Pay Range</p>
<p>$51.12 - $74.12</p>
<p>Our Commitment to Diversity and Inclusion</p>
<p>Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health 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, status as a protected veteran, or any other status protected by law.</p>

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