St Francis Medical Center

Case Manager (RN)

St Francis Medical Center$75K — $90K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years post-graduation nursing experience with a current RN license
  • 1+ year in case management, discharge planning, or nursing management
  • Basic to intermediate computer skills
  • Preferred: 5 years acute care nursing experience
  • Preferred: Certification in Case Management (CCM) or willingness to obtain within 1 year
  • Preferred: Familiarity with Milliman and InterQual Criteria
  • Preferred: Current Basic Cardiac Life Support (BCLS) certification

Responsibilities

  • Manage quality and resources for all patient admissions
  • Advocate for cost containment in healthcare delivery
  • Integrate health care providers for seamless patient care
  • Conduct holistic and comprehensive admission reviews
  • Evaluate medical necessity and service intensity
  • Ensure clinical and cost-effective outcomes
  • Perform concurrent reviews of medical records

Benefits

  • Full-time employment status
  • Day shift scheduling
  • Opportunity for professional growth in case management
  • Collaborative work environment with healthcare providers
  • Focus on quality patient care outcomes
Full Job Description
Overview

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. 

Qualifications

EDUCATION, EXPERIENCE, TRAINING

Required Qualifications:

  •  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.
  •  

    Preferred Qualifications:

  • Five years of acute care nursing experience.  preferred
  • CCM or obtained within 1year
  • Knowledge of Milliman Criteria and InterQual Criteria preferred.
  • Current BCLS certificate, preferred
  • Employment StatusFull Time ShiftDays

    About St Francis Medical Center

    St. Francis Medical Center is a for-profit hospital in Lynwood, California, United States, owned by Prime Healthcare Services.
    Learn more about St Francis Medical Center

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