Nurse Case Manager
4 weeks ago
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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