Inpatient Nurse Case Manager Salary in San Jose, California

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Average Salary for Inpatient Nurse Case Manager in San Jose, California

The average salary of a(n) Inpatient Nurse Case Manager in San Jose, California is $96,988.

The average hourly rate of a(n) Inpatient Nurse Case Manager in San Jose, California is $46.63.

The average bonus of a(n) Inpatient Nurse Case Manager in San Jose, California is $4,597.00.

Job Description:

Coordinates the delivery of healthcare and social services to the inpatient population while balancing individually identified patient and family, medical, and psychosocial needs with cost-effective and available resources. Manages and oversees the inpatient hospital stay of a caseload of patients through coordination with Physicians, Social Workers, nursing staff, and other health professionals. Administers utilization review and collaborates with the care team to formulate the discharge plan. Implements a plan of care utilizing approved clinical guidelines to transition and provide continuity of care for the patient to an appropriate lower level of care in collaboration with the hospitalist/physician member team, acute or skilled facility staff, ambulatory care team, and the patient and/or patient's representative from admission through discharge. Interfaces with physicians, nursing staff, and other members of the multidisciplinary and medical records coding staff to ensure appropriate reimbursement is received. Determines medical necessity for admission and continued stay according to specific criteria and regulations in accordance with the Utilization Review Plan. Conducts daily/concurrent reviews of charts to rectify any deviation from compliance. Educates staff, physicians, and other members of the multi-disciplinary team on documentation for compliance. Identifies consistent clinical and operational problem areas and facilitates resolutions through participation in the performance improvement process. Acts as liaison for the management and communication of information with the insurance/managed care companies of the assigned patient population. Less

Coordinates the delivery of healthcare and social services to the inpatient population while balancing individually identified patient and family, medical, and psychosocial needs with cost-effective and available resources. Manages and oversees the inpatient hospital stay of a caseload of patients... More

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