Case Manager; RN - Utilization Management Job Chino area,California USA,Nursing

Position: Case Manager (RN) - Utilization Management

Overview

Chino Valley Medical Center is a 112-bed community hospital in Southern California, recognized nationally for quality patient safety and comprehensive services. Learn more at

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community.

Benefits

Paid Time Off
401(k) retirement plan
Outstanding Medical
Dental
Vision Coverage
Tuition Reimbursement
Many more voluntary benefit options

Responsibilities

Responsible for quality and resource management of all admitted patients from admission through continuum of care. Works on behalf of the advocate, promoting cost containment, and demonstrates leadership to integrate health care providers for seamless delivery of care. Methodology facilitates quality, clinical, and cost-effective outcomes and includes a holistic admission and concurrent review of the medical record for medical necessity, intensity of service and severity of illness.

Qualifications

Required Qualifications

Minimum 5 years’ work experience post‑graduation of an accredited nursing school and a current state Registered Nurse license
At least one year of 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
CCM or obtained within 1 year
Knowledge of Milliman Criteria and Inter Qual Criteria
Current BCLS certificate

Pay Transparency

Salary estimate: $51.00 per hour. Exact starting compensation to be determined at time of hire, considering skill set, experience, education, credentials and licensure.

Employment Status

Per Diem

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on these protected categories.

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