US-CA
Tri‑City Medical Center has served San Diego County’s coastal communities of Carlsbad, Oceanside and Vista, and the surrounding region for more than 60 years. It is one of the largest employers in North San Diego County and is administered by the Tri‑City Healthcare District, a California Hospital District. The full‑service acute care public hospital has over 500 physicians practicing in more than 60 specialties and holds a Gold Seal of Approval® from the Joint Commission. Tri‑City is vital to the community’s well‑being, providing world‑class orthopedic, spine, cardiovascular, robotic surgery, cancer and emergency care, and serving as a healthcare safety net for many citizens.
Position Summary
The Case Manager assumes responsibility for the coordination of services to maximize patient outcomes. The role includes assessment, evaluation, collaboration, and coordination of patient care delivery systems and participation in appointed service line activities. Emphasis is on cost‑effective strategies that maximize quality care for the identified patient population. The Case Manager functions as a contact person, coordinator, and facilitator for the patient, family, health care team members, claims/insurance personnel, and other stakeholders as necessary.
Major Position Responsibilities
Maintains a safe, clean working environment, including unit‑based safety and infection control requirements.
Responsible for the coordination of services to maximize patient outcomes.
Assesses, evaluates, collaborates and coordinates patient care delivery systems and participates in appointed service line activities.
Ensures cost‑effective and cost‑efficient strategies that maximize quality care within the current health care environment for the identified patient population.
Coordinates 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 (including patients admitted from the physician’s office or transferred 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 an 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 using written and verbal skills.
Education
Bachelor’s 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.
Location
Oceanside, CA
Job Title
Case Manager Registered Nurse – Full Time Days – Tri‑City Medical Center