Registered Nurse (RN) - Case Manager

About the Role

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion, and community at West Anaheim Medical Center, a member of Prime Healthcare. Founded in 1964, West Anaheim Medical Center is a 219-bed acute-care hospital providing high-quality, compassionate healthcare. Key services include general medical and surgical inpatient care, emergency services, surgical services, behavioral health, a comprehensive heart center, and diagnostic imaging.

Responsibilities

• Ensure the quality and resource management of all admitted patients from admission and across the continuum of healthcare management.
• Act on behalf of the advocate, promoting cost containment and demonstrating leadership to integrate healthcare providers for seamless care delivery.
• Perform holistic and comprehensive admission and concurrent reviews of medical records for medical necessity, intensity of service, and severity of illness.

Requirements

• Minimum 5 years of work experience post-graduation from an accredited school of nursing.
• Current state Registered Nurse license.
• At least one year of experience in case management, discharge planning, or nursing management.
• Basic to intermediate computer skills.

Preferred Qualifications

• Five years of acute care nursing experience.
• Certification in Case Management (CCM) or obtained within 1 year.
• Knowledge of Milliman Criteria and InterQual Criteria.
• Current BCLS certificate.

Benefits

West Anaheim Medical Center offers a comprehensive benefits package that provides flexibility to tailor benefits according to individual needs. Our Total Rewards package includes:

• 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 is $43.08 to $57.91 per hour. The exact starting compensation will be determined based on factors such as skillset, years of applicable experience, education, credentials, and licensure.

Schedule

Full-time, day shift.