Medical Case Management Nurse

Under general supervision, the Medical Case Management Nurse performs a variety of responsible medical case management duties; ensures completion of tasks in accordance with established policies and procedures; communicates policies, procedures and job expectations; and provides training to staff.

Knowledge of

• Principles and practices of leadership, mentoring, and training
• Applicable federal, state, and local laws, codes, and regulations on nursing practices 
• Operational characteristics, services, and activities of assigned programs and functions
• Office procedures, methods, and equipment including computers and applicable software applications such as word processing, spreadsheets, databases, and other specialized applications related to area of assignment
• English usage, spelling, grammar, and punctuation
• Professional nursing principles, procedures, and techniques used in the care and treatment of patients with a wide variety of conditions, normal course of illnesses and injuries, and their anticipated complications and therapeutic interventions
• Medical reference manuals such as the California Relative Value Studies, Physician’s Current Procedural Terminology Handbook, Western Region Length of Stay by Diagnosis and Operation, and Intensification Criteria for Concurrent Utilization Review
• The Centers for Disease Control Prevention (CDC) – The Epidemiology and Prevention of Vaccine Preventable Diseases
• General procedures and organization of hospitals and out-patient clinics

Ability to

• Lead and/or train staff
• Plan, coordinate, assign, and review the work of staff
• Provide work direction and instruction
• Research and evaluate work problems, and recommend solutions
• Develop and maintain cooperative, effective working relationships with others
• Communicate clearly and concisely, both verbally and in writing
• Interpret and apply applicable federal, state, and local laws, codes, and regulations
• Apply customer service skills, including the identification of customer needs and follow up to ensure customer commitments have been met
• Assess and monitor patient medical care and treatment by outside providers to ensure compliance with County guidelines and procedures
• Collect, organize, interpret, and effectively communicate data relevant to patient medical care and needs
• Analyze medical situations and make decisions under tight time constraints
• Learn, use and appropriately apply medical reference manuals, insurance policies and regulations, and various governmental regulations pertaining to medical care and payment related to the program assigned
• Communicate effectively, orally and in writing, with patients, their families, hospital and clinic personnel and insurance representatives

Minimum Qualifications

Possession of a current valid Registered Nurse license issued by the State of California;

AND

Either: One (1) year of full-time paid experience as a Registered Nurse performing case management activities such as coordinating out-patient or in-patient nursing care, or medical review in a hospital or clinical setting.

Or: Two (2) years of full-time paid experience as a Registered Nurse performing nursing duties. 

APPLICATION

Qualified applicants are encouraged to apply immediately. All applicants must complete and submit an online County of Sacramento employment application by 5:00 PM on the posted cut-off date. Click here to apply.