RN Case Mgr 8HR /FT- SFMC Utilization Review
Company: Prime Healthcare
Location: Lynwood
Posted on: January 25, 2023
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Job Description:
Join an award-winning team of dedicated professionals committed
to our core values of quality, compassion and community! St.
Francis Medical Center, a member of Prime Healthcare, offers
incredible opportunities to expand your horizons and be part of a
community dedicated to making a difference.
St. Francis Medical Center is one of the leading comprehensive
healthcare institutions serving Southeast Los Angeles. St. Francis
is dedicated to providing vital healthcare services for the 700,000
adults and 300,000 children who count on the hospital for high
quality and compassionate medical care. St. Francis is recognized
for its full range of diagnostic and treatment services in
specialties including Cardiovascular, Surgical, Orthopedics,
Maternal-Child Health, Behavioral Health and Emergency and Trauma
Care.--- In addition, the hospital offers a broad array of
education and outreach programs that advance community health. St.
Francis Medical Center is a Certified Primary Stroke Center,
Approved STEMI Receiving Center for Los Angeles County and
designated Baby-Friendly healthcare facility by Baby-Friendly USA.
Please visit www.stfrancismedicalcenter.comfor more
information.
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 insure 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.
Education and Work Experience
+ Starting April 1 2015. Minimum 5 years work experience
post-graduation of an accredited school of nursing and a current
state Registered Nurse license.
+ Grandfathered prior to April 1, 2015. Minimum 5 years post
graduate of an accredited school Of Social Work for Licensed
Clinical Social Worker. However, RN Case Manager preferred.
+ Five years acute care nursing experience preferred. At least one
year experience in case management, discharge planning or nursing
management, preferred.
+ Current BCLS (AHA) certificate, preferred.
+ Knowledge of Milliman Criteria and InterQual Criteria
preferred.
+ Experience and knowledge in basic to intermediate computer
skills.
+ Behavioral Violence Prevention Training within 3 months of hires
and maintain current.
Saint Francis Medical Center 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. Benefits may vary based on collective bargaining agreement
requirements and/or the employment status, i.e. full-time or
part-time. The current compensation range for this role is $41.37
to $59.60. 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.
We are an Equal Opportunity/Affirmative Action Employer and do not
discriminate against applicants due to veteran status, disability,
race, gender, gender identity, sexual orientation or other
protected characteristics. If you need special accommodation for
the application process, please contact Human Resources. EEO is the
Law:
https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf
ID: 2022-112983
External Company URL: primehealthcare.com
Street: 3630 E Imperial Hwy
Shift: Days
Exempt / Non-Exempt: Non-Exempt
Keywords: Prime Healthcare, Lynwood , RN Case Mgr 8HR /FT- SFMC Utilization Review, Healthcare , Lynwood, California
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here to apply!
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