Case Manager RN - Enhanced Care Management
About The Position
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Desert Valley Medical Group is affiliated with Desert Valley Hospital, one of the nation's "100 Top Hospitals" and "A" rated for patient safety. We offer incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Desert Valley Hospital, along with Desert Valley Medical Group, offers key services to the community including heart care, emergency services, labor and delivery, surgical services and more. For more information visit www.DesertValleyHospital.com. Desert Valley Medical Group offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to: Paid Time Off 401K retirement plan Outstanding Medical Dental Vision Coverage Tuition Reimbursement Many more Voluntary Benefit Options!
Requirements
- Current state Registered Nurse license.
- One year work experience post-graduation of an accredited school of nursing preferred.
- Current BCLS (AHA) certificate, preferred.
- Knowledge of Milliman Criteria and InterQual Criteria preferred.
- Experience and knowledge in basic to intermediate computer skills.
Responsibilities
- The Case Manager Registered Nurse (CMRN) works collaboratively as part of the ECM team and is responsible for the quality and resource management of ECM patients across the continuum of the health care management.
- Supports ECM patients with complex medical conditions and completes medication reconciliation in collaboration with pharmacy as available for all ECM patients.
- Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care.
- The methodology is designed to facilitate and ensure the achievement of quality, clinical and cost-effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.
Benefits
- Paid Time Off
- 401K retirement plan
- Outstanding Medical
- Dental
- Vision Coverage
- Tuition Reimbursement
- Many more Voluntary Benefit Options!
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Industry
Hospitals
Education Level
No Education Listed
Number of Employees
101-250 employees
