Case Manager RN: Lead Care Coordination & Outcomes

Desert Valley Hospital & Medical Group; Victorville (CA); On-site; USD 50,000 - 60,000; Part time

Job summary

Desert Valley Hospital & Medical Group in Southern California seeks a skilled Registered Nurse to join as a Per Diem Case Manager. You will oversee admissions, care coordination, and discharge planning to ensure clinical and cost-effective outcomes.

Ideal candidates have 5+ years post-graduation nursing experience, current RN license, and knowledge of Milliman and InterQual criteria. Computer skills are required to manage records and care pathways.

Qualifications

• Current California RN license required.
• 5+ years nursing experience post-graduation.
• Experience in case management or discharge planning preferred.

Responsibilities

• Oversee the quality and resource management of all admitted patients from admission through discharge.
• Promote cost containment and lead integration of care across providers to ensure seamless delivery of care.
• Perform holistic admission and concurrent review of medical records for necessity, intensity of service and severity of illness.

Education

Registered Nurse License (State of California)

Tools

Milliman Criteria

InterQual Criteria

Job description

Desert Valley Hospital & Medical Group in Southern California seeks a skilled Registered Nurse to join as a Per Diem Case Manager. You will oversee admissions, care coordination, and discharge planning to ensure clinical and cost-effective outcomes.

Ideal candidates have 5+ years post-graduation nursing experience, current RN license, and knowledge of Milliman and InterQual criteria. Computer skills are required to manage records and care pathways.