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Registered Nurse Case Manager (RN) - Case Management
Days - PRNIndio, California
Overview
At Tenet, your nursing skills can make a pivotal difference for the patients we treat and the communities we serve. You'll work in an enriching, rewarding environment where you'll have the resources to surpass your patients' needs. For our part? We'll give you ample tools and support – like competitive benefits, personalized mentorship, enhanced flexibility, and more – so you can take your health career where you always knew you could.
Success Profile
What makes a successful Registered Nurse Case Manager (RN) - Case Management? Check out the traits we’re looking for and see if you have the right skill level.
- Innovative
- Advocate
- Collaborative
- Person-Centered
- Resourceful
- Critical Thinker
Responsibilities
Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At John F. Kennedy Memorial Hospital hospital, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.
At John F. Kennedy Memorial Hospital, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:
- Medical, dental, vision, and life insurance
- 401(k) retirement savings plan with employer match
- Generous paid time off
- Career development and continuing education opportunities
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance
Note: Eligibility for benefits may vary by location and is determined by employment status
POSITION DESCRIPTION:
The scope of duties encompasses a variety of tasks related to performing the following: integrated concurrent review for utilization; quality and risk; discharge planning; and case referrals for patients. This position works with medical and professional staffs to obtain appropriate clinical documentation for review and to meet inpatient criteria by the Interqual Guidelines. The Case Managers are responsible for the research and appeal UR denials; micro management of patients to ensure appropriate and timely resource utilization; timely and accurate communication to insurance utilization review for certification of admission and continued stay.
QUALIFICATIONS:
1. Current license as a Registered Nurse in California, or related health care professional
2. Three (3) years Case Management/UM experience in an acute care facility
3. CPR
4. Knowledge and experience with Medi-Cal - preferred
5. Good communication skills and ability to work with others
6. Basic computer skills
Hours: 0800-1630
Schedule: Per Diem. Some weekends and holidays required.
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2503030743Our Tenet Testimonials
My co-workers are awesome here. I feel like I'm in a really supportive environment and can rely on the people I work with.
Leila C.,
Registered Nurse
Our Competitive Benefits
When we care for each other, we strengthen our care for our patients and communities. That's why we provide a fully comprehensive benefits package that prioritizes you and your family's health and wellness.
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Coaching and Mentorship
You’ll have open dialogues between your supervisors and team members to continue developing your skills and leave a large impact on care.
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