Case Manager RN

2 days ago


Mission Viejo, California, United States Mission Regional Medical Center Full time
Case Manager Registered Nurse

At Mission Regional Medical Center, we are committed to delivering high-quality patient care and exceptional service. As a Case Manager Registered Nurse, you will play a vital role in ensuring our patients receive the best possible care.

Responsibilities
  • Manage patient care from admission to discharge, ensuring seamless transitions and optimal outcomes.
  • Collaborate with healthcare teams to develop and implement individualized care plans.
  • Conduct thorough assessments and reviews to ensure medical necessity, intensity of service, and severity of illness.
  • Lead by example, promoting cost containment and quality care.
Qualifications

To be successful in this role, you will need:

  • A minimum of 5 years of experience as a Registered Nurse, with a current state license.
  • Experience in case management, discharge planning, or nursing management is preferred.
  • Knowledge of Milliman Criteria and InterQual Criteria is a plus.
  • Basic to intermediate computer skills and ability to learn new systems.

Mission Regional Medical Center is an equal employment opportunity employer and prohibits discrimination based on protected categories. We are committed to creating a diverse and inclusive work environment.


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