CASE MANAGER

Job Locations

Overview

Tri-City Medical Center has served San Diego County’s coastal communities of Carlsbad, Oceanside and Vista, as well as the surrounding region for more than 60 years and is one of the largest employers in North San Diego County. Tri-City is administered by the Tri-City Healthcare District, a California Hospital District. As a full-service acute care public hospital with over 500 physicians practicing in over 60 specialties, Tri-City is vital to the well-being of our community and serves as a healthcare safety net for many of our citizens. The hospital has received a Gold Seal of Approval® from the Joint Commission showcasing a commitment to safe and effective patient care for the residents of the community. 

Tri-City Medical Center prides itself on being the home to leading orthopedic, spine and cardiovascular health services while also specializing in world-class robotic surgery, cancer and emergency care. Tri-City’s Emergency Department is there for your loved ones in their time of need and is highly regarded for our heart attack and stroke treatment programs. When minutes matter Tri-City is your source for quality compassionate care close to home. Tri-City partners with over 90 local non-profit and community organizations as part of our COASTAL Commitment initiative. Together we are helping tackle some of our communities’ pressing health and social needs.

Position Summary:

The Case Manager assumes responsibility for the coordination of services in order to maximize patient outcomes. Inherent in the position is assessment, evaluation, collaboration and coordination of patient care delivery systems and participation in appointed service line activities.  Emphasis is on cost-effective and cost-efficient strategies which maximize quality care within the current health care environment for the identified patient population.  The Case Manager I is responsible for the coordination of utilization management, discharge planning and other health care services/systems. The Case Manager I functions as a contact person, coordinator and facilitator for the patient, family, health care team members, and claims/insurance personnel as necessary.

Major Position Responsibilities:

The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization.

• Maintains a safe, clean working environment, including unit based safety and infection control requirements.
• Responsible for the coordination of services in order to maximize patient outcomes.
• Assess, evaluate, collaborate and coordinate patient care delivery systems and participation in appointed service line activities.
• Ensures cost-effective and cost-efficient strategies which maximize quality care within the current health care environment for the identified patient population. 
• Responsible for the coordination of utilization management, discharge planning and other health care services/systems.
• Functions as a contact person and facilitator for the patient, family, health care team members and claims/insurance personnel as necessary.
• Responsible for direct admission process and bed assignments for direct admission patients (may include patients admitted from Physician’s office or transferred to TCMC from other health care facilities – ED department only).
• Required to cover two holiday shifts per year or as needed.
• Coordinates services to maximize patient outcomes.

Qualifications:

• Minimum of 3 years clinical and case management experience in acute care setting, preferred.
• Knowledge of Prospective Payment System and JCAHO standards and regulatory requirements pertaining to Utilization Management and Discharge Planning desirable.
• Ability to communicate effectively utilizing both written and verbal skills.

Education: 

• Bachelors Degree in nursing or other health related field, preferred.  

Licenses:

• Current California Registered Nurse, required.

Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.

*Salary/Hourly Wage range based on experience.

To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)

TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.