RN Case Manager

4 weeks ago


Garden Grove, California, United States Della Infotech Full time

Job Summary

RN Case Manager - Quality and Resource Specialist at Della Infotech

Responsible for the quality and resource management of all patients admitted to the facility from the point of admission and across the continuum of healthcare management.

Works on behalf of the advocate, promoting cost containment and demonstrating leadership to integrate healthcare providers and achieve a seamless delivery of care.

The methodology is designed to facilitate and ensure the achievement of quality, clinical, and cost-effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for medical necessity, intensity of service, and severity of illness.

Key Responsibilities

  • Minimum 2 years of work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license
  • Two years of acute care nursing experience preferred. At least one year of experience in case management, discharge planning, or nursing management, preferred
  • Current BCLS (AHA) certificate, preferred
  • Knowledge of Milliman Criteria and InterQual Criteria preferred
  • Experience and knowledge in basic to intermediate computer skills
  • Behavioral Violence Prevention Training within 3 months of hire and maintain current

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