RN Case Manager
Oakland, California
Alta Bates Summit Medical Center - Summit Campus

Case Manager (Registered Nurse) - Travel/Contract

Location: Oakland, California
Contract Length: 13 weeks

Job Summary

• Work a 5/8 schedule (40 hours/week), every other weekend off
• Day shift: 8:00 AM – 4:30 PM
• Responsible for care coordination and care transitions planning throughout the acute care patient experience
• Collaborate with physicians, utilization managers, social workers, bedside nurses, and interdisciplinary teams to ensure timely patient progression and appropriate level of care
• Focus on preventing unnecessary admissions or readmissions and facilitating communication across the care continuum
• May be assigned to Emergency Department to address complex clinical and social situations efficiently

Key Responsibilities

• Conduct initial and ongoing patient assessments, including medical, psychosocial, and financial information gathering
• Lead healthcare team in developing cost-effective care coordination plans
• Identify and report quality and risk management concerns
• Oversee Case Management Assistants for post-acute care service preferences
• Perform utilization management by reviewing medical records to confirm level of care (LOC) and expedite transitions
• Monitor length of stay and collaborate with financial counselors on inpatient stay denials
• Ensure compliance with Medicare Important Message delivery timelines
• Participate in patient rounds and interdisciplinary team collaboration
• Maintain documentation in electronic health records (EHR) and stay current with CMS, Joint Commission, and regulatory requirements
• Develop and communicate transition plans with patients, families, payers, and community resources
• Screen for 30-day readmissions and proactively identify barriers to care progression
• Address complex clinical and social issues to avoid improper care utilization and delays
• Ensure timely transitions to lower levels of care and follow-up appointment coordination
• Make appropriate referrals for psychosocial issues and financial counseling
• Participate actively in department operations and continuous improvement initiatives
• Maintain professional relationships and demonstrate cultural sensitivity

Required Qualifications

• Valid RN license in California
• Acute Care Case Management (5 years of experience)
• Acute Care Case Management experience within the last year
• BLS issued by American Heart Association or American Red Cross
• Associate of Science in Nursing / Associate Degree in Nursing
• Experience in an inpatient setting

Additional Information

• Must comply with all facility policies and procedures
• Participate in ongoing training and competency exams as required
• Demonstrate effective communication and teamwork skills
• Ability to manage complex patient care coordination in a fast-paced acute care environment

This position offers an opportunity to work in a collaborative acute care setting focusing on patient-centered care transitions and utilization management.