CASE MANAGEMENT NURSE

INSPIRING HEALTHY LIVES

through community

At Natividad, our dedication to the people of Monterey County is at the heart of everything we do—from the health care services we provide to the specialized programs we promote. This commitment to our community spans more than 130 years and, more importantly, has touched countless lives. It has also earned us a Joint Commission ranking in the top percentile of hospitals nationwide. If you believe in inspiring healthy lives by focusing on community-based care, consider joining Natividad today.

CASE MANAGEMENT NURSE

Natividad is currently seeking to fill one permanent, full-time Case Management Nurse position in the Utilization Management Department. Under direction, the incumbent performs care management utilization review and/or patient discharge/transfer care coordination on assigned units; identifies potential or existing utilization review and patient discharge/transfer planning problems and facilitates resolutions; and performs other related work as required.

Requires completion of an accredited nursing program with a valid CA Registered Nurse License and one year of experience performing utilization review and/or discharge planning duties in an acute-care hospital setting OR three years of experience as a Registered Nurse in an acute care hospital setting on a Medical/Surgical unit, with at least one year in a charge nurse role.

The ideal candidate will have thorough knowledge of:

• Community resources, payer sources and means by which to manage them in order to achieve the required continuum of care/services after discharge
• Hospital Ambulatory Services routines, organization and dynamic interrelationships
• Medical terminology
• Common disease stages, sequences, progression, processes and resulting treatment plans found frequently in acute care and/or extended care settings
• Follow-up care, equipment and patient needs upon/after discharge
• Principles, practices and theories of acute and/or ambulatory-care management, utilization review and discharge planning
• Joint Commission standards and requirements pertaining to utilization review and discharge planning
• Medicare regulations, reporting requirements, review practices and funding of outpatient services
• Medi-Cal regulations addressing prior authorization, concurrent review, reimbursement and funding of outpatient services
• Chronic conditions, evidence-based guidelines, prevention, wellness, health-risk assessments and patient education
• Development, education, implementation and evaluation of population health programs

PRIORITY SCREENING DATE: Monday, April 12, 2021 at 11:59 pm for a guaranteed review. Application materials received after this date will be reviewed in an ongoing basis until positions are filled.

For more information or to request application materials, contact Natividad, Human Resources Department, 1441 Constitution Blvd., Salinas, CA 93906, (831) 783-2700, or apply at http://www.natividad.com. Like us on Facebook: https://www.facebook.com/NatividadInspiringHealthyLives/   EOE/M/F/H/V