RN Case Manager

About UCI Health

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County.

It comprises its main campus, UCI Medical Center, a 459-bed acute care hospital in Orange, Calif., four hospitals, and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties, as well as ambulatory care centers across the region.

For 23 consecutive years, UCI Medical Center has been ranked by News & World Report as providing tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program, and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold-level 1 geriatric emergency department, and regional burn center.

The Case Manager Role

The Case Manager is a clinician who, in conjunction with other members of the healthcare team, is accountable for timely coordination of quality healthcare services to meet the patient's healthcare needs across the continuum of care.

This position requires knowledge of the development stages as services are provided to infants, children, adolescents, pediatric, adult, and geriatric populations.

Additionally, it requires knowledge of cultural diversity and influences in the response to illness, given the diverse population being served.

Responsibilities

• Initiates and implements utilization/resource management, continued stay monitoring, discharge planning, supporting optimal patient care outcomes along the continuum of care.

Requirements

• Working knowledge of Medicare, Medi-Cal, NCQA, Heidis, and other criteria identified by the Quality/Case Management Department.
• Minimum of 1 year discharge planning experience.
• Working knowledge of managed care and capitation operations.
• Valid, current California Nursing License.
• Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties.
• Excellent written and verbal communication skills in English.
• Ability to establish and maintain effective working relationships across the Health System.
• Must be able to sight and hear normal phone conversation.
• Must have sufficient manual dexterity to utilize computer and typewriter.
• Knowledge of University and medical center organizations, policies, procedures, and forms.

Additional Requirements

• The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community.
• Legal Right to Work in the United States.
• Vaccination Policies.
• Smoking and Tobacco Policy.

As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct.

The following additional conditions may apply, some of which are dependent upon business unit or job-specific requirements:

• California Child Abuse and Neglect Reporting Act.
• Pre-Placement Health Evaluation.

Details of each policy may be reviewed by visiting the following page: [insert link]

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.

Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.

UCI provides reasonable accommodations for applicants with disabilities upon request.