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Nurse Case Manager

2 months ago


Inglewood California, United States Centinela Hospital Medical Center Full time
About the Role

Centinela Hospital Medical Center is seeking a skilled Nurse Case Manager to join our team. As a key member of our healthcare team, you will be responsible for 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
  • Bachelor's degree in a related field (BSW or equivalent).
  • At least one year of experience in case management, discharge planning, or nursing management.
  • Current CCM certification or obtained within six months of hire.
  • Basic to intermediate computer skills.
Preferred Qualifications
  • Minimum five years of acute care experience.
  • At least one year of experience in case management, discharge planning, or management.
  • Current BCLS certification.
  • Knowledge of Milliman Criteria and InterQual Criteria.
About Us

Centinela Hospital Medical Center is a 362-bed acute-care hospital with a 24-hour emergency department and primary stroke center. We offer 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.