Case Manager RN - Social Work

About the role

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Desert Valley Hospital, a member of the Prime Healthcare Foundation, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Desert Valley Hospital is an accredited 148-bed acute care hospital located in Southern California. Desert Valley Hospital is in the top 5% of more than 4,500 hospitals nationwide for clinical performance. The hospital has achieved numerous quality award distinctions including Patient Safety Excellence Award, Women’s Health Excellence Award and Distinguished Hospital Clinical Excellence Award. Desert Valley Hospital, along with Desert Valley Medical Group, offers key services to the community including heart care, emergency services, labor and delivery, surgical services and more. For more information visit www.DesertValleyHospital.com.

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

• 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
• Five years of acute care nursing experience (preferred)
• CCM certification or obtained within 1 year (preferred)
• Knowledge of Milliman Criteria and InterQual Criteria (preferred)
• Current BCLS certificate (preferred)

Benefits

• Paid time off
• 401K retirement plan
• Medical, dental, and vision coverage
• Tuition reimbursement
• Many more voluntary benefit options

Pay

A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $38.50 to $55.21. 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.

Schedule

Full Time, Shift Days