Registered Nurse (RN) - Case Manager

Huntington Beach Hospital•Huntington Beach, CA

59d•$47 - $63

About The Position

Huntington Beach Hospital is seeking a Registered Nurse (RN) - Case Manager to join its team. The hospital is a 131-bed acute-care community hospital and a member of the Prime Healthcare Foundation. The role is responsible for quality and resource management for patients admitted to the facility, beginning at admission and continuing across the continuum of healthcare management. The Case Manager advocates on patients’ behalf, promotes cost containment, and helps integrate healthcare providers to support seamless care delivery. The work is designed to facilitate quality, clinically appropriate, and cost-effective outcomes. It includes holistic and comprehensive admission and concurrent reviews of medical records to assess medical necessity, intensity of service, and severity of illness. This is a part-time, day-shift position. Compensation is estimated at $46.52 to $62.54; the final starting compensation will depend on factors including skills, applicable experience, education, credentials, and licensure. Benefits include paid time off, a 401(k) retirement plan, medical, dental, and vision coverage, tuition reimbursement, and other voluntary benefit options.

Requirements

For candidates under the requirements effective April 1, 2015: at least five years of work experience after graduation from an accredited school of nursing and a current state Registered Nurse license.
For candidates grandfathered prior to April 1, 2015: at least five years of postgraduate experience from an accredited school of social work for a Licensed Clinical Social Worker.
Experience and knowledge in basic to intermediate computer skills.

Nice To Haves

Registered Nurse Case Manager preferred.
Five years of acute-care nursing experience preferred.
At least one year of experience in case management, discharge planning, or nursing management preferred.
Current BCLS (AHA) certificate preferred.
Knowledge of Milliman Criteria and InterQual Criteria preferred.

Responsibilities

Manage the quality and resources of admitted patients from admission and across the continuum of healthcare management.
Advocate on behalf of patients and promote cost containment.
Demonstrate leadership in integrating healthcare providers to support seamless care delivery.
Facilitate quality, clinically appropriate, and cost-effective outcomes.
Perform holistic and comprehensive admission and concurrent medical-record reviews for medical necessity, intensity of service, and severity of illness.