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
Shift: Day (5x8 hours), 8:00 AM – 4:30 PM
Hours per Week: 40

Job Summary

• Provide 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 transitions.
• Focus on preventing unnecessary admissions or readmissions by managing complex clinical and social situations efficiently.
• Lead and supervise healthcare teams in developing cost-effective care coordination plans.
• Participate actively in utilization management, including reviewing medical records for level of care compliance and expediting transition planning.
• Maintain compliance with CMS, Joint Commission, and other regulatory requirements related to transitions of care.
• Identify barriers to care progression and work with multidisciplinary teams to resolve them.
• Communicate with financial counselors regarding uninsured or underinsured patients and make appropriate referrals.
• Participate in department operations, contribute to process improvements, and maintain professional relationships with healthcare teams and community agencies.

Required Qualifications

• Valid Registered Nurse (RN) license in California.
• Minimum 5 years of acute care case management experience, including inpatient and acute care settings.
• Acute care case management experience within the last year.
• Basic Life Support (BLS) certification issued by the American Heart Association or American Red Cross.
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN).

Job Duties Highlights

• Conduct initial and ongoing patient assessments including medical, psychosocial, and financial information gathering.
• Screen for ancillary supportive services such as palliative care.
• Oversee case management assistants in determining post-acute care preferences.
• Monitor length of stay and collaborate on utilization management documentation.
• Ensure delivery of Medicare Important Message within required timeframes.
• Participate in patient rounds and interdisciplinary team meetings.
• Develop and communicate transition plans involving patients, families, payers, and community resources.
• Identify and manage high utilizers of emergency services and patients with complex psychosocial needs.
• Maintain thorough documentation in electronic health records and other systems.
• Follow policies for physician advisor referrals and escalation processes.

Additional Requirements

• Must review and sign facility-specific documents including job description, standards of business conduct, confidentiality agreements, HIPAA agreements, and orientation materials prior to start.
• Complete required facility-specific competency forms and attestations as applicable.
• Comply with all regulatory and facility-specific training and documentation requirements.

Notes

• Prior travel experience is not explicitly required.
• This is a travel/contract position with a 13-week assignment length.
• The role requires strong communication skills and the ability to work collaboratively with diverse teams and patient populations.