Registered Nurse (RN) - Case Manager

Garden Grove Hospital Medical Center•Garden Grove, CA

1d•$50 - $62•Onsite

About The Position

Garden Grove Hospital Medical Center is seeking a Registered Nurse (RN) - Case Manager to oversee the quality and resource management of patients admitted to the facility, from admission throughout the continuum of health care management. The role advocates on behalf of patients, promotes cost containment, and provides leadership to integrate health care providers for seamless care delivery. The position uses a holistic and comprehensive admission and concurrent medical-record review to assess medical necessity, intensity of service, and severity of illness, with the aim of achieving quality, clinical, and cost-effective outcomes.

Requirements

For the RN qualification pathway: minimum five years of work experience after graduation from an accredited school of nursing and a current state Registered Nurse license.
Experience and knowledge in basic to intermediate computer skills.
Complete Behavioral Violence Prevention Training within three months of hire and maintain current training.

Nice To Haves

Five years of acute care nursing experience.
At least one year of experience in case management, discharge planning, or nursing management.
Current BCLS (AHA) certificate.
Knowledge of Milliman Criteria and InterQual Criteria.
RN Case Manager preferred for candidates qualifying under the grandfathered Licensed Clinical Social Worker pathway.

Responsibilities

Manage quality and resources for patients admitted to the facility from admission through the continuum of health care management.
Advocate on behalf of patients and promote cost containment.
Provide leadership to integrate health care providers and support seamless delivery of care.
Conduct holistic and comprehensive admission and concurrent reviews of medical records for medical necessity, intensity of service, and severity of illness.
Facilitate quality, clinical, and cost-effective outcomes.