RN Case Mgr 8HR Union (Per Diem) - SFMC Utilization Review
Company: Prime Healthcare
Location: Lynwood
Posted on: January 12, 2021
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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 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.Qualifications 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.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
Keywords: Prime Healthcare, Lynwood , RN Case Mgr 8HR Union (Per Diem) - SFMC Utilization Review, Other , Lynwood, California
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