In collaboration with the interdisciplinary team, the RN Care Manager provides care coordination services evaluating options and services required to meet an individual’s health care needs to promote quality outcomes.  Serves as a consultant to members of the health care team in the management of specific patient populations.  The RN Care Manager role integrates the functions of complex case management, utilization management, quality management, discharge planning assessment, and coordination of counseling, primary, and specialty care services, including transfers to an alternative level of care.

Qualifications

• Graduate of an accredited school of registered nursing.
• BSN preferred. 
• Five years+ clinical experience with at least two years+ ambulatory case management or utilization review experience within the last three years.
• Prefer of two (2) years+ experience in an HMO/IPA/Managed care setting is preferred and recommended.
• Ability to work independently with minimal supervision, exercising judgment and initiative.
• Ability to manage multiple tasks with effective prioritization.
• Process oriented. Good computer skills.
• Knowledge of CM standards, UM standards, clinical standards of care, NCQA requirements, CMS guidelines, Milliman guidelines, InterQual guidelines, and Medicaid/Medicare contracts and benefit systems is preferred.

About the Hospital

At Keck Medicine of USC, diversity means recognizing the richness of our differences and celebrating them together.

Our nurses enjoy a wide array of competitive benefits, including free tuition at USC for both employees and their families.

We provide exceptional healthcare, retirement benefits and quality of life programs designed to help you make the most of your experience at Keck Medicine of USC; and discounts on a wide variety of services, including public transportation passes, campus fitness center memberships and event tickets.