Case Manager, RN

3 weeks ago


South El Monte California, United States AHMC Healthcare Full time
Overview:
Under the general supervision of the case management director, the case manager RN acts as a patient advocate to hospital clients;

 

Responsibilities:
Coordinates, negotiates, procures services and resources for, and manages the care of complex patients to facilitate achievement of quality and cost efficient patient outcomes; Looks for opportunities to reduce cost while ensuring the highest quality of care is maintained; Applies Interqual or equivalent severity of illness and intensity of service review criteria to determine medical necessity for admission and continued stay; Provides clinically based case management, discharge planning, and care coordination to facilitate the delivery of cost-effective quality healthcare and assists in the identification of appropriate utilization of resources across the continuum of care

 

Qualifications:
Current RN license in the state of California. Current BLS.

At least one year of RN acute care hospital experience required. At least one year of working experience within utilization management orcase management or comparable healthcare administrative duties Demonstrated skills in the areas of negotiation, communication (verbal andwritten), conflict, interdisciplinary collaboration, management, creativeproblem solving, and critical thinking. Knowledge and understanding of healthcare financing, community andorganizational resources, patient care processes, and data analysis. Knowledge of post-acute care and community resources. Computer skills required

 

Hospital Description:
Greater El Monte Community Hospital

90 bed Community Hospital

Acute, SubAcute and Pending Psych


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