Nurse Case Manager

4 weeks ago


Inglewood, California, United States Centinela Hospital Medical Center Full time

Job Summary: We are seeking a skilled Nurse Case Manager to join our team at Centinela Hospital Medical Center. 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.

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 health and wellness.

Requirements:

  • Minimum 5 years of work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
  • Experience in case management, discharge planning, or nursing management is preferred.
  • Knowledge of Milliman Criteria and InterQual Criteria is preferred.
  • Basic to intermediate computer skills are required.

About Us: Centinela Hospital Medical Center is a 362-bed acute-care hospital with a 24-hour STEMI certified emergency department and primary stroke center. We are committed to providing high-quality, patient-centered care to our community.



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