Case Manager - RN
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 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
- 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.
Pay
Not specified
Schedule
Not specified
Benefits
Not specified
Company Information
Garden City Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. At Garden City Hospital, we pride ourselves on community involvement and commitment to preserving access to quality and compassionate healthcare. We are a state-of-the-art medical facility with over 300 licensed beds and a teaching hospital, offering medical education to students, residents and fellows from across the country. The residency and fellowship programs offer graduate medical education to more than 80 trainees in specialties. Garden City Hospital has an award-winning staff of over 350 of the area's best and brightest physicians from almost every specialty. Learn more at www.gch.org.