Case Manager RN

4 days ago


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

At Mission Regional Medical Center, we are seeking a skilled Case Manager Registered Nurse to join our team of dedicated professionals. As a Case Manager Registered Nurse, you will play a vital role in ensuring the quality and resource management of all patients admitted to our facility.

Key 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 promote cost containment and achieve quality, clinical, and cost-effective outcomes.
  • Collaborate with healthcare providers to integrate care and achieve seamless delivery of services.
  • Provide education and support to patients and their families to promote self-management and empowerment.

Requirements:

  • Minimum 5 years of work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
  • Grandfathered prior to April 1, 2015, or minimum 5 years post-graduate of an accredited school of Social Work for Licensed Clinical Social Worker.
  • Five 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 upon hire and maintain current.
  • Knowledge of Milliman Criteria and InterQual Criteria preferred.

What We Offer:

Mission Regional Medical Center is a 297-bed, non-profit hospital that provides inpatient and outpatient hospital services to the people of the Rio Grande Valley. We are committed to our core values of quality, compassion, and community, and we offer a dynamic and supportive work environment.

We are an equal employment opportunity employer and prohibit discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age, disability, military status, genetic information, or any other basis protected by applicable federal, state, or local laws.


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