Registered Nurse Case Manager (RN)

Desert Care Network; Indio (CA); On-site; USD 77,000 - 128,000; Full time

Benefits offered by this job

Medical, dental, vision, and life ins.

401(k) with employer match

Generous paid time off

Career development & continuing ed.

Health savings accounts & flexible FS

Employee Assistance program

Employee discount program

Pet insurance & other voluntary cover

Job summary

JFK Memorial Hospital, part of Desert Care Network in Indio, CA, seeks an experienced Case Manager to improve patient outcomes and optimize resource use.

You will conduct utilization review, discharge planning, and care coordination with medical staff to ensure appropriate documentation and timely case management. California RN license, 3+ years CM/UM, and CPR are required.

Qualifications

• Active California RN license or equivalent healthcare professional license.
• Minimum 3 years in case management/utilization management in acute care.
• CPR certification.
• Familiarity with Medi-Cal preferred.
• Strong communication and teamwork skills.
• Proficient basic computer skills.

Responsibilities

• Perform integrated concurrent review for utilization, quality and risk.
• Contribute to discharge planning and care coordination.
• Coordinate case referrals for patients and ensure documentation.
• Research and appeal UR denials; monitor utilization and timelines.
• Communicate with insurance UR for admission and continued stay certifications.

Skills

Case management experience

Communication skills

Basic computer skills

Medi-Cal knowledge

CPR

Education

California RN license

Job description

Overview

Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At John F. Kennedy Memorial Hospital we are seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.

At John F. Kennedy Memorial Hospital, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance.

Available Plans And Programs Include

• Medical, dental, vision, and life insurance


• 401(k) retirement savings plan with employer match


• Generous paid time off


• Career development and continuing education opportunities


• Health savings accounts, healthcare & dependent flexible spending accounts


• Employee Assistance program, Employee discount program


• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status.

Job Summary

Shift: Days

Job type: Full Time

Hours: 0800-1630

Schedule: 10 shifts per two week pay period. Every other weekend required.

Up to $25,000 Sign-On bonus based on experience!

The scope of duties encompasses a variety of tasks related to performing the following: integrated concurrent review for utilization; quality and risk; discharge planning; and case referrals for patients. This position works with medical and professional staffs to obtain appropriate clinical documentation for review and to meet inpatient criteria by the Interqual Guidelines. The Case Managers are responsible for the research and appeal UR denials; micro management of patients to ensure appropriate and timely resource utilization; timely and accurate communication to insurance utilization review for certification of admission and continued stay.

Qualifications

• Current license as a Registered Nurse in California, or related health care professional


• Three (3) years Case Management/UM experience in an acute care facility


• CPR


• Knowledge and experience with Medi-Cal - preferred


• Good communication skills and ability to work with others


• Basic computer skills

Organization Description

Desert Care Network serves the healthcare needs of the Coachella Valley and Morongo Basin regions in Southern California with three hospitals: Desert Regional Medical Center in Palm Springs, JFK Memorial Hospital in Indio and Hi-Desert Medical Center in Joshua Tree. The hospital network provides advanced care with services such as comprehensive stroke care, a cancer center, a Level 1 Trauma Center and the only Level 3 Neonatal Intensive Care Unit (NICU) in the Coachella Valley. Desert Care Network is committed to healthcare equality.

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

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The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.

$56.28 - $93.02 hourly. Individual wages are determined based upon a number of factors including, but not limited to, an individual’s qualifications and experience.