Clinical Case Manager RN
2 weeks ago
Job Summary:
Prime Healthcare is seeking a skilled RN Case Manager to join our team at Harlingen Medical Center. As a RN Case Manager, you will be responsible for the quality and resource management of all patients admitted to the facility, from admission to discharge.
Responsibilities:
- Promote cost containment and demonstrate leadership to integrate healthcare providers for seamless delivery of care.
- Conduct holistic and comprehensive admission and concurrent review of medical records for medical necessity, intensity of service, and severity of illness.
- Collaborate with healthcare teams to achieve quality, clinical, and cost-effective outcomes.
Qualifications:
- Minimum 5 years of work experience post-graduation from an accredited school of nursing and a current state Registered Nurse license.
- Knowledge of Milliman Criteria and InterQual Criteria preferred.
- Basic to intermediate computer skills and experience with electronic medical records.
What We Offer:
- A dynamic and supportive work environment.
- Opportunities for professional growth and development.
- A competitive salary and benefits package.
How to Apply:
Apply online at [insert link] or contact our HR department at [insert contact information].
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