Scripps Health Administrative Services supports our five hospitals and 19 outpatient facilities, which treat half a million patients annually through 2,600 affiliated physicians.

At Scripps Health, you will experience the pride, support and respect that has been repeatedly recognized as one of the nation’s Top 100 Places to Work.

You’ll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So, if you’re open to change, go ahead, and unlock your potential.

We invite you to join our Scripps Health Utilization Management team of Care Managers.

The Care Manager, Registered Nurse of Utilization Management, is responsible for screening patients in their assigned caseload to identify those that are medically vulnerable, who may have needs that may be addressed at another location; or within contracted programs/vendors specific to their needs/health plan. In addition, coordinates with the health care team and the patient/family to address issues that may impact their care, and to develop a transition plan of care based on the patients' needs.

This is a Part-Time (24 hours per pay period, every 2 weeks) position, with a Monday-Friday schedule working normal business hours. Position does rotate on-call after hours. This position does not require weekends or holidays.

This is a fully remote position that must be local to San Diego.

Preferred Education/Experience/Specialized Skills/Certification:

• Bachelor of Science in Nursing (BSN) highly desired.

• Case management certification highly preferred.

• Demonstrate knowledge of utilization management including experience managing prior-authorization and concurrent review.

• Knowledge of Medicare and Commercial health plans.

• 3+ years of managed care and/or case management experience.

Required Education/Experience/Specialized Skills:

• 2+ years clinical experience.

• Excellent verbal and written communication (including documentation) skills demonstrated by completing the required forms and the ability to work effectively with individuals and or teams across disciplines.

• Ability to independently utilize critical thinking skills, nursing judgement and decision-making skills.

• Ability to prioritize, plan, and handle multiple tasks/demands simultaneously as evidence by capacity of open cased, active care plan rate and the ability to handle multiple tasks.

• Ability to read, analyze and interpret information in medical records, and health plan documents.

• Demonstrates knowledge in Microsoft Office applications including Outlook, Word, and Excel.

Required Certification/Registration:

• Current California RN License.

Scripps Health 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 disability.