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

Position: Case Manager (RN) - Utilization Management

Overview

Case Manager (RN) - Utilization Management

Facility:
Montclair Hospital Medical Center

Location:

US-CA-Montclair

Category:
Clinical Professional

Position Type:
Full Time

Shift: Days

Job Type: Non-Exempt

Responsibilities

Responsible for the quality and resource management of all patients admitted to the facility from admission through the continuum of care. Acts on behalf of the advocate, promoting cost containment and demonstrating leadership to integrate health care providers to achieve seamless delivery of care. The methodology is designed to facilitate and ensure achievement of quality, clinical and cost-effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for medical necessity, intensity of service, and severity of illness.

Qualifications

Education, Experience, Training

Starting April 1, 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.

Grandfathered prior to April 1, 2015. Minimum 5 years post-graduate of an accredited school of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.

Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.

Current BCLS (AHA) certificate, preferred.

Knowledge of Milliman Criteria and Inter Qual Criteria preferred.

Experience and knowledge in basic to intermediate computer skills.

Pay Transparency

Montclair Hospital Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $41.57 to $55.95.

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.

Employment Status

Full Time

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 any of these protected categories.

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