Nurse Case Manager

4 days ago


Garden Grove, California, United States Garden Grove Hospital Full time
About Garden Grove Hospital Medical Center

Garden Grove Hospital Medical Center is a 167-bed community hospital located in Southern California, dedicated to providing high-quality, compassionate healthcare to our community. We have received Top 100 Hospital in the nation accolades from Truven Health Analytics and are a recipient of the Patient Safety Excellence Award from Healthgrades.

Job Summary

We are seeking a skilled Registered Nurse to join our Case Management team. As a Registered Nurse - Case Manager, you will be responsible for the quality and resource management of all patients admitted to our facility, promoting cost containment and demonstrating leadership to integrate healthcare providers for seamless delivery of care.

Responsibilities
  • Conduct comprehensive admission and concurrent reviews of medical records to ensure medical necessity, intensity of service, and severity of illness.
  • Develop and implement individualized care plans to achieve quality, clinical, and cost-effective outcomes.
  • Collaborate with healthcare providers to ensure a seamless delivery of care and promote cost containment.
  • Provide education and support to patients and families to promote self-management and independence.
Qualifications
  • Minimum 5 years of work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
  • Five years of acute care nursing experience preferred, with at least one year of experience in case management, discharge planning, or nursing management.
  • Current BCLS (AHA) certificate and knowledge of Milliman Criteria and InterQual Criteria preferred.
Benefits

Garden Grove Hospital Medical Center offers competitive compensation and a comprehensive benefits package, including paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options.


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