(RN) Case Manager - Population Health - Hybrid - 131954

Payroll Title:
CASE MGR EX Department:
PHSO - CLINICAL OPERATIONS Hiring Pay Scale
$144,711 - $190,885 / Year Worksite:
Greenwich Drive Appointment Type:
Career Appointment Percent:
100% Union:
HX Contract Total Openings:
1 Work Schedule:
Days, 8 Hour Shifts, Monday-Saturday rotation

#131954 (RN) Case Manager - Population Health - Hybrid
Filing Deadline: Wed 10/2/2024
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UC San Diego values equity, diversity, and inclusion. 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.

UCSD Layoff from Career Appointment : Apply by 9/23/2024 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.

Special Selection Applicants : Apply by 10/02/2024. Eligible Special Selection clients should contact their Disability Counselor for assistance.

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.

The RN Case Manager (CM) will work in our Care Connections Hub handling post discharge (DC) calls. The team works Monday - Saturday responding to post DC calls from patients who have had a hospital or Skilled Nursing stay. The RN CM will help the patient understand post DC instructions, review medications, answer any questions, confirming appointments are set and that patients are able to get to appointments, conducts difficult phone conversations and either close the loop or escalate any issues that may put a patient at greater risk of avoidable readmission.

While not required, a cover letter is highly recommended when applying to this position.

MINIMUM QUALIFICATIONS

• Must be a graduate from an accredited school of Nursing.
• Registered Nurse (RN) license issued by the state of California.
• Prior case management experience in large, acute care or community setting and /or Utilization review in hospital or IPA setting. MCG and/or InterQual experience.
• Strong teamwork and interpersonal skills.
• Must have proven autonomous problem solving, independent thinking, decision making, and prioritizing skills.
• Proficiency in Information Systems and computer programs including MS Office (Word, Excel, Outlook, PowerPoint, etc.).

PREFERRED QUALIFICATIONS

• BSN/MSN
• ACM and/or CCM
• Prior experience with referral processing, utilization review, discharge planning and benefits description with customers.
• Autonomy and productivity proven in the home environment statement.
• Proficiency in Electronic Health Records (EHR) (Epic preferred).
• Previous experience working in Population Health.
• Three to five (3-5) years of clinical RN experience or in an acute care or post acute care / community setting.
• Proven outpatient, managed care, or similar case management experience.

SPECIAL CONDITIONS

• This position is a hybrid of up to one day on site and four days at home. On-site work required during the training period Monday-Friday 8:30am-5:00pm, then hybrid work from home and office when skills are proficient. One Saturday shift per month is currently required with a flex day off during the same work week.
• Must be able to work various hours and locations based on business needs.
• Employment is subject to a criminal background check and pre-employment physical.

Pay Transparency Act

Annual Full Pay Range: $144,711 - $190,885 (will be prorated if the appointment percentage is less than 100%)

Hourly Equivalent: $69.31 - $91.42

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 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 .

UC San Diego is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.

For the University of California's Affirmative Action Policy please visit: https://policy.ucop.edu/doc/4010393/PPSM-20
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.