Case Manager, RN

4 weeks ago


Lynwood, California, United States Prime Healthcare Full time

Job Summary

St. Francis Medical Center, a member of Prime Healthcare, is seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will be responsible for the quality and resource management of all patients admitted to the facility from the point of their admission and across the continuum of healthcare management.

Responsibilities

  • Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management.
  • Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care.
  • The methodology is designed to facilitate and insure 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 the medical necessity, intensity of service and severity of illness.

Qualifications

Education, Experience, Training

  • Starting April, Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license. Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
  • Five years acute care nursing experience preferred. At least one year 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.

Benefits

St. Francis Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time.



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