Registered Nurse III MC​/CHC Per Diem; Case Manager - RUHS UR Case Management

The Riverside University Health System (RUHS) - Medical Center is currently recruiting for a Per Diem Registered Nurse III MC/CHC (Case Manager) to join our Integrated Care Management Department located in Moreno Valley.

We are seeking an experienced Registered Nurse (RN) Case Manager to support all areas of Case Management, including the Emergency Department (ED), Transfer Center, Inpatient Units, and Utilization Management (UM). This role is responsible for coordinating patient care across the continuum, ensuring appropriate level of care, optimizing resource utilization, and supporting safe, timely discharges.

• Provide comprehensive nursing care to patients in accordance with established standards of practice, policies, and procedures.
• Assess, plan, implement, and evaluate individualized patient care plans.
• Perform utilization review and case management activities, including evaluating continued stay criteria and level of care appropriateness.
• Coordinate discharge planning, identify post-discharge needs, and facilitate referrals to appropriate community and ancillary services.
• Administer medications and treatments safely while monitoring patient response and documenting outcomes accurately.
• Maintain complete, accurate, and timely clinical documentation in compliance with regulatory and payor requirements.
• Collaborate effectively with physicians, interdisciplinary teams, patients, and families to ensure quality patient outcomes.
• Ensure compliance with federal, state, and local regulations governing nursing practice and reimbursement standards.
• Educate patients and families regarding treatment plans, medications, and follow-up care.

• Assess, plan, organize, and provide nursing care to assigned patients in accordance with physician instruction; make preliminary observations of patients and prepare patients for medical treatment.
• Assist physicians in administering treatments and in performing medical examinations, diagnostic tests and surgical operations.
• Administer prescribed treatment and medications, including dispensing, as ordered to patients; chart treatment of patients; record and report significant changes in condition and general progress of patients.
• Counsel and advise patients, families and significant others regarding special medical problems and/or proper healthcare methods.
• Prepare and maintain concise and complete records and reports; instruct patients in carrying out physician's orders; transcribe physician's orders to working records.
• Provide orientation and training to new staff, residents, medical students, Regional Occupational Program (ROP) participants and nursing students.
• Participate in quality assurance reviews; act as a team leader or relief charge nurse.
• Assign and monitor, the work of subordinate nursing personnel; participate in committee activities; identify staff training needs.
• Triage patients by reviewing admission charts and merging patients into the appropriate patient assignment or clinic flow when appropriate.
• Testify in court as to client's mental and physical condition.
• Coordinate and monitor patients through the hospitalization process utilizing physicians, primary care nurses and third-party payors to maintain quality care and fiscal responsibility.
• Review the post hospital care plan with the patient, /family establishing a contact regarding time frames and responsibilities; follow care plan through patient discharge.

• A valid and current Registered Nurse license issued by the State of CA
• Basic Life Support (BLS) certification issued by the American Heart Association
• Case Management Certification (CCM) is highly preferred

The ideal candidate will have strong acute hospital Case Management and Utilization Management experience, with proven expertise using Inter Qual criteria to support medical necessity reviews and authorization process.

• A valid and current Registered Nurse license issued by the State of CA
• Basic Life Support (BLS) certification issued by the American Heart Association
• Case Management Certification (CCM) is highly preferred

9/80 - Monday to Friday

Hours:

8:00 am to 5:30 pm

Rate: $77.1585 per hour

• Successful completion of the education required to obtain a valid license to practice as a Registered Nurse in the State of California.
• Three years of full time experience as a Registered Nurse in an acute care facility, mental health facility, or community health agency with references and evaluations to show appropriate skill level. (A bachelor's degree from an accredited college or university in nursing or national certification in a nursing specialty may be considered as a substitution for one year of the required experience.
  
  A master's degree from an accredited college or university in nursing may be considered as a substitution for two years of the required experience.)
• Current knowledge of professional nursing principles, techniques and procedures; medical terminology and…