St Francis Medical Center

Case Manager RN

St Francis Medical Center$80K — $95K *
Reno, NV 89502In-Person
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Minimum 5 years nursing experience post-graduation; Registered Nurse license required.
  • At least 1 year of experience in case management, discharge planning, or nursing management.
  • Basic to intermediate computer skills essential.
  • Five years of acute care nursing experience preferred.
  • CCM certification preferred or to be obtained within 1 year.
  • Familiarity with Milliman Criteria and InterQual Criteria is preferred.
  • Current BCLS certification is preferred.

Responsibilities

  • Manage quality and resources for patients admitted to the facility.
  • Promote cost containment while ensuring seamless care delivery.
  • Lead integration of health care providers to enhance patient care experience.
  • Conduct holistic admission and concurrent reviews of medical records.
  • Ensure achievement of clinical and cost-effective outcomes.

Benefits

  • Full-time employment.
  • Day shift work schedule.
Full Job Description
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

    Similar Jobs

    More Jobs at St Francis Medical Center

    More Healthcare Jobs

    Find similar Case Manager RN jobs: