Registered Nurse (RN) - Case Manager

Huntington Beach Hospital•Huntington Beach, CA

1d•$43 - $58

About The Position

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Huntington Beach Hospital, a member of the Prime Healthcare Foundation, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Founded in 1967, Huntington Beach Hospital is a 131-bed acute-care community hospital. As the only hospital in Huntington Beach, Huntington Beach Hospital is proud to be the community hospital serving the residents of Huntington Beach and the surrounding area for the past 50 years. Fully accredited by The Joint Commission, and with nearly 200 physicians and more than 400 healthcare and other professionals on staff, our team is committed to providing outstanding service in a safe, comfortable, and caring environment. Learn more at https://www.hbhospital.org/. 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 insure 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.

Requirements

Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
Five years acute care nursing experience preferred.
At least one year experience in case management, discharge planning or nursing management, preferred.
Current BCLS (AHA) certificate, preferred.
Knowledge of Milliman Criteria and InterQual Criteria preferred.
Experience and knowledge in basic to intermediate computer skills.

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 insure 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.