Case Manager Nurse Salary in Long Beach, CA

Communicate regularly with residents and their family about Plans of Care, PT, OT and other treatment protocols. Attends and participates in morning meetings/stand up to facilitate communications with the team. Answer residents' questions about their care, treatment plans, illness progression and all other issues so they feel safe and secure in our care. Monitor and adjust resident's statuses based on changing needs and conditions. Organize and prioritize daily work by assessing new, current and discharging residents needs in area(s) of responsibility. Complete documentation as required. Performs utilization review activities to provide resident appropriate, timely and cost effective care. Coordinate care with resident, care providers, facilities financial services, and third party payers. Oversee all admissions and discharge activities. Coordinate referrals both to and from our facility. Ability to relate positively, effectively, and appropriately with residents, families, staff and professional colleagues. Accurate charting and ability to complete necessary paperwork in a timely manner. Ability to work independently and exercise sound judgement in interactions with physicians, providers, payers and residents and their families. Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including residents/families/caretakers, physicians, nurse and other ancillary partners. Must have excellent time management skills to develop organized work processes in a high volume environment with rapidly changing priorities. Intermediate computer skills. Competence maintaining professional, respectful, honest interactions with residents/families and staff and partners. Supervisory Requirements This position has no supervisory responsibilities. Qualification Education and/or Experience Bachelor's Degree in Nursing or Social Work. Registered Nurse (RN) license preferred. Licensed (LVN or LPN) nurse acceptable. Two (2) year clinical nursing experience preferred. Knowledge of Medicare, Medi cal and Medicaid programs and benefits. PCC Knowledge Language Skills Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Ability to solve practical problems. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Certificates, Licenses, Registrations LVN/LPN Valid License or RN Valid Licensee in the state you are working. Certificate as a certified Case Manager (CCM) a plus. Must maintain all required continuing education/licensing. Must remain in good standing with the Department of Public Health; License and Certification Division at all times. Physical Demands The essential functions of this position require the following physical abilities: Standing and /or walking very frequently. Sitting occasionally. Reaching with hands and arms frequently, pushing/pulling very frequently. Talking and /or hearing very frequently. Tasting and /or smelling very frequently. Lifting up to 50 pounds frequently. Climbing, balancing, stooping, kneeling, crouching or crawling occasionally. Close, distance, color, peripheral, and depth perception in vision: ability to adjust focus. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually low to moderate. Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

Communicate regularly with residents and their family about Plans of Care, PT, OT and other treatment protocols. Attends and participates in morning meetings/stand up to facilitate communications with the team. Answer residents' questions about their care, treatment plans, illness progression and all other issues so they feel safe and secure in our care. Monitor and adjust resident's statuses based on changing needs and conditions. Organize and prioritize daily work by assessing new, current and discharging residents needs in area(s) of responsibility. Complete documentation as required. Performs utilization review activities to provide resident appropriate, timely and cost effective care. Coordinate care with resident, care providers, facilities financial services, and third party payers. Oversee all admissions and discharge activities. Coordinate referrals both to and from our facility. Ability to relate positively, effectively, and appropriately with residents, families, staff and professional colleagues. Accurate charting and ability to complete necessary paperwork in a timely manner. Ability to work independently and exercise sound judgement in interactions with physicians, providers, payers and residents and their families. Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including residents/families/caretakers, physicians, nurse and other ancillary partners. Must have excellent time management skills to develop organized work processes in a high volume environment with rapidly changing priorities. Intermediate computer skills. Competence maintaining professional, respectful, honest interactions with residents/families and staff and partners. Supervisory Requirements This position has no supervisory responsibilities. Qualification Education and/or Experience Bachelor's Degree in Nursing or Social Work. Registered Nurse (RN) license preferred. Licensed (LVN or LPN) nurse acceptable. Two (2) year clinical nursing experience preferred. Knowledge of Medicare, Medi cal and Medicaid programs and benefits. PCC Knowledge Language Skills Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Ability to solve practical problems. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Certificates, Licenses, Registrations LVN/LPN Valid License or RN Valid Licensee in the state you are working. Certificate as a certified Case Manager (CCM) a plus. Must maintain all required continuing education/licensing. Must remain in good standing with the Department of Public Health; License and Certification Division at all times. Physical Demands The essential functions of this position require the following physical abilities: Standing and /or walking very frequently. Sitting occasionally. Reaching with hands and arms frequently, pushing/pulling very frequently. Talking and /or hearing very frequently. Tasting and /or smelling very frequently. Lifting up to 50 pounds frequently. Climbing, balancing, stooping, kneeling, crouching or crawling occasionally. Close, distance, color, peripheral, and depth perception in vision: ability to adjust focus. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually low to moderate. Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

Title: Registered Nurse (RN), Clinical II, Outpatient Location: Laguna Hills Department: Wound Healing Center Status: Full Time Shift: Day (8 hours) Pay Range*: $44.91 - $70.52 At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Healthcare. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork. Position Summary This position requires the full understanding and active participation in fulfilling the mission of Saddleback Medical Center. It is expected that the employee demonstrate behavior consistent with our core values: Integrity, Accountability, Best Practices, Compassion and Synergy. The employee shall support Saddleback Medical Center's strategic plan and participate in and advocate performance improvement/patient safety activities. Responsible for the coordination and delivery of clinical activities of the Wound Care Center. These include, but are not limited to, utilization of skills in organization, planning, implementing, evaluating, nursing assessment and providing care through the use of hospital and nursing standards. Essential Functions and Responsibilities of the Job Provides case management to a group of patients providing specific assessments according to protocols and procedures, clinical competence in procedural skills, treatments, and patient/caregiver education related to wound care management, and acts as patient advocate in delivery and coordination of patient care. Provides efficient and effective care with the guidance of the physician during the clinic sessions, attends the clinics where scheduled and is dependable. Able to manage a number of patients at the same time with high energy and organization. Collaborates with other health care providers, wound care center Clinical Coordinator, Physicians, Program Director and Medical Director, regarding clinic and patient needs. Ability to interact in a positive and constructive manner Ability to prioritize and multitask Ability to be at work and be on time Ability to follow company policies, procedures and directives *Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare-that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there's more... Check out our MemorialCare Benefits for more information about our Benefits and Rewards. Minimum Requirements Qualifications/Work Experience: 1-2 years of related experience or equivalent combination of experience and experience Medical Surgical, Home Health, or Wound Care experience preferred Education/Licensure/Certification: Current RN License Current American Heart Association Basic Life Support (BLS) card required Wound Care Certification preferred Bachelor's degree from a four-year college or university preferred

Title RN Case Manager III Location Long Beach Department Care Coordination Status Full time Shift Day Pay Range $56.68/hr - $80.18/hr Sign on $10,000 At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Healthcare. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork. Position Summary The case manager III, Case Manager is a licensed professional who plans, coordinates and facilitates the ongoing care and appropriate discharge plan of a specific caseload of patients through the continuum of care. The case manager III collaborates with members of the health care team, the patient, and their family to assure effective, efficient, and appropriate care and outcomes. The incumbent is accountable for education, monitoring, utilization and evaluation of medical outcomes. Essential Job Outcomes & Functions Care Management Case Management The case manager III independently manages a specific case load of patients as identified by the Resource Management Department and CareLines. The case manager analyzes patient information and assess each patient's functional status and decision making ability in relation to the continuum of care and discharge needs. The case manager collaborates with the health care team, patient, and family in planning and facilitating the achievement of expected outcomes for patients. Each treatment plan is evaluated for appropriate quality outcomes and utilization of resources. Continuum of Care/Quality The case manager III works collaboratively with the health care team to provide education, resources, and referrals as needed for each patient and their family or caretaker. The case manager facilitates coordination among health care professionals, services, and settings involved in the patient's care, with a focus on enhancing patient satisfaction. The case manager actively communicates with nursing leadership, CareLine physician directors, and Medical Directors on quality issues. As appropriate, concerns are referred to various Medical Staff Committees and CareLines through required documentation, including but not limited to the Clinical Pertinence Review Form. The case manager has the responsibility to maintain professionalism and provide ongoing education to the health care team regarding the case manager's role. Utilization Management The case manager works collaboratively and proactively with payors in managing patient resources. The case manager assures the hospital receives appropriate reimbursement through collaboration with the health care team and provides timely clinical review, as well as retroactive review for unbilled accounts. The case manager utilizes the billing system to analyze charges vs. reimbursement and contract information. This information is used to structure the health care team toward effective utilization of resources. The case manager incorporates knowledge of medical necessity, CareLine protocols, and MAPs to evaluate for appropriateness of admissions, continued stay, and discharges. The case manager refers cases, as appropriate, for review to the Combined Resource Management Committee and other Medical Staff Committees as needed. Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare-that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there's more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards.Experience This position requires strong verbal and written communication skills with the ability to communicate well with people from diverse socioeconomic backgrounds. The case manager is knowledgeable of criteria for medical necessity for each level of care through the continuum of care. A knowledge of reimbursement related to MediCare, MediCal, Capitation, and Managed Care is required. Three to five years acute care or home health experience plus prior experience in Quality Improvement, Case Management, Discharge Planning or Utilization Management required. Education Current California RN License. BSN or Bachelors degree in health or related field preferred