St Francis Medical Center

Registered Nurse (RN) - Case Manager

St Francis Medical Center$97K — $130K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years post-graduation nursing experience with a valid RN license
  • 1+ year in case management, discharge planning, or nursing management
  • Basic to intermediate computer skills
  • Preferred: 5 years of acute care nursing experience
  • CCM certification or willingness to obtain within 1 year
  • Familiarity with Milliman and InterQual Criteria preferred
  • Current BCLS certification preferred

Responsibilities

  • Oversee quality and resource management for patient admissions
  • Promote cost containment in patient care
  • Integrate health care providers for seamless delivery of care
  • Facilitate holistic admission and concurrent reviews
  • Ensure clinical and cost-effective outcome achievements

Benefits

  • Flexible benefits tailored to individual needs
  • Paid time off
  • 401K retirement plan
  • Medical, dental, and vision coverage
  • Tuition reimbursement
  • Voluntary benefit options available
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
  • Pay Transparency

    La Palma Intercommunity Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $46.52 to $62.54. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

    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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