Case Manager (RN) - Utilization Management

Chino Valley Medical Center; Chino (CA); On-site; USD 59,000 - 80,000; Full time

Job summary

Chino Valley Medical Center invites applications for a full-time position focused on patient admission quality and resource management. The role emphasizes advocating for cost containment and coordinating care across the admission-to-discharge continuum, with emphasis on seamless delivery of services.

Required qualifications include a BSW or related degree and at least one year in case management, discharge planning, or nursing management; basic to intermediate computer skills are expected.

Qualifications

• BSW or other bachelor's degree in a related field.
• At least one year experience in case management, discharge planning or nursing management; or experience and knowledge in basic to intermediate computer skills.

Responsibilities

• Quality and resource management of all patients admitted to the facility from admission across the care continuum.
• Advocate for cost containment and lead integration of health care providers for seamless delivery of care.
• Perform admission and concurrent review of medical records for medical necessity, intensity of service and severity of illness.

Skills

Case management

Discharge planning

Nursing management

Computer skills

Education

BSW or related bachelor's degree

Job description

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Chino Valley Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Chino Valley Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Chino Valley Medical Center is a 112-bed community hospital established in 1972 and centrally located in Southern California’s Chino Valley. A nine-time recipient of the Healthgrades Patient Safety Excellence Award (2014-2022), Chino Valley Medical Center has been recognized nationally for its quality, including as among the 100 Great Community Hospitals by Becker’s Hospital Review in 2018 and as among the 100 Top Hospitals by IBM Watson Health. Chino Valley Medical Center is committed to serving the community’s health care needs with top-rated emergency care as well as senior services, orthopedics, surgical services and more. Learn more at www.cvmc.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 insure 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

EDUCATION, EXPERIENCE, TRAINING

Required Qualifications

• BSW or other bachelor's degree in a related field. At least one year experience in case management, discharge planning or nursing management; or
• Experience and knowledge in basic to intermediate computer skills.

Preferred Qualifications

• Minimum 5 years of acute care experience preferred.
• CCM or obtained within 1 year
• Current BCLS certificate preferred.
• Knowledge of Milliman Criteria and InterQual Criteria preferred.

Pay Transparency

Chino Valley 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 $43.25 to $58.21. 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.

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. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Privacy Notice

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf