Case Manager (RN) - Utilization Management
About The Position
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! San Dimas Community Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. San Dimas Community Hospital is a 101 bed facility located on a 13-acre campus in the heart of San Dimas. With a multidisciplinary team of experts and state of the art technology, we are committed to serving the community with personalized, high-quality care. We offer a full range of comprehensive services, including 24-hour emergency services, a family birth center, orthopedic surgery, advanced diagnostic services, cardiopulmonary and gastrointestinal services. San Dimas Community Hospital has received multiple awards including the "100 Top Hospitals," Women's Choice Award for America's Best Hospitals for Patient Safety, and Healthgrades awards, including the "Patient Safety Excellence Award." Learn more at sandimashospital.com.
Requirements
- Minimum 5 years' work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license
- At least one year experience in case management, discharge planning or nursing management
- Experience and knowledge in basic to intermediate computer skills.
Nice To Haves
- Five years of acute care nursing experience.
- CCM or obtained within 1year
- Knowledge of Milliman Criteria and InterQual Criteria preferred.
- Current BCLS certificate, preferred
Responsibilities
- Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management.
- 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
- competitive compensation
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What This Job Offers
Career Level
Mid Level
