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 nursing experience post-accreditation with an active RN license
  • 1+ year experience in case management or discharge planning
  • Basic to intermediate computer skills
  • Knowledge of Milliman and InterQual Criteria preferred
  • Current BCLS certification preferred

Responsibilities

  • Manage patient quality and resource allocation from admission onward
  • Promote cost containment strategies in care delivery
  • Lead integration of healthcare providers for seamless patient care
  • Conduct holistic admissions and concurrent medical record reviews
  • Ensure clinical and cost-effective outcome achievement

Benefits

  • Comprehensive healthcare services provided
  • Opportunity to work in a state-of-the-art facility
  • Strong commitment to patient safety and quality care
  • Recognition for excellence in specialized medical procedures
  • Supportive environment with skilled healthcare professionals
Full Job Description
Overview

North Vista Hospital is an accredited 177-bed state-of-the-art hospital located in North Las Vegas, Nevada. North Vista offers comprehensive healthcare services, including mental health care, emergency care, heart care, advanced surgical procedures, diagnostic imaging and help for a broad range of medical conditions.  Equipped with advanced medical technology and staffed by a team of highly skilled healthcare professionals, North Vista is committed to providing high-quality care in a friendly hospital environment. The hospital has achieved numerous quality award distinctions including Patient Safety Excellence Award, Bariatric Surgery Excellence Award, Heart Failure recognition and more. For more information, please visit www.northvistahospital.com.

 

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. 

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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