About this opportunity
Working Nurse lists this Case Manager, RN – Days opportunity in santa clarita, California. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Job Description
The RN Case Manager is responsible for coordination of care, utilization review, acting as a resource to patient, family and nursing units; referrals to clinical social worker for psycho-social issues and complicated discharge planning issues; and overseeing coordination of post-hospital care needs; interacting with insurance companies, medical groups, and community resources to ensure timely, efficient use of all services.
Applies knowledge of the expected clinical process, available resources, medical necessity criteria, regulatory requirements, and relevant standards of care in anticipating patient needs.
Responsible for case management across the continuum of care utilizing an interdisciplinary approach to managing patient throughput in a fiscally responsible manner to achieve optimal outcomes. Works as a member of a multidisciplinary team to actively facilitate those functions associated with the patient throughout an acute episode of care.
RN Job
Case Manager, RN - Days
Shift
Full Time 8:00AM- 4:30PM
Pay Range
$51.31 to $78.76
Job ID
30182
Location
Santa Clarita, 91355
Qualifications
Licensure and Certification
Current CA RN license
Current BLS provider card
Case Management certification preferred
Education
Diploma, AA, BS in Nursing
MS in Nursing preferred
Experience
Two (2) years as a Case Manager in an acute care setting or five years recent acute care nursing experience preferred.
Demonstrates strong interpersonal skills, leadership ability, negotiation skills, and knowledge of hospital operations.
General knowledge of the payer industry, resource management, reimbursement, and evidence-based clinical practice is essential.
Knowledge of InterQual and/or Milliman preferred
About The Hospital
Be a part of the team at Henry Mayo Newhall Hospital, the healthcare leader in the Santa Clarita Valley.
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Worksite address
santa clarita, CA, 91382, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.