Registered Nurse (RN) – Case Manager

Rady Children's Health Orange County (CHOC); Garden Grove (CA); On-site; USD 69,000 - 86,000; Part time

Benefits offered by this job

401K retirement plan

Medical, dental, vision coverage

Job summary

Garden Grove Hospital Medical Center, part of Prime Healthcare, is seeking a part-time RN Case Manager to oversee patient quality and resource management from admission onward. The role emphasizes advocacy, cost containment, and coordinated care across care teams.

Qualified applicants typically hold a state RN license (or an LCSW for social work track) with several years of acute care or case-management experience. Milliman/InterQual knowledge and strong computer skills are desirable.

Qualifications

• RN with active state license or Licensed Clinical Social Worker (LCSW) preferred.
• Experience in case management, discharge planning or nursing management preferred.
• Knowledge of Milliman and InterQual criteria is a plus.
• Basic to intermediate computer skills.

Responsibilities

• Responsible for the quality and resource management of all patients admitted to the facility from admission through the care continuum.

Job description

Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Garden Grove Hospital 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. Founded in 1982, Garden Grove Hospital Medical Center is a 167-bed community hospital centrally located in beautiful Southern California dedicated to providing our community with high-quality, compassionate healthcare. Garden Grove Hospital Medical Center has received “Top 100 Hospital” in the nation accolades from Truven Health Analytics and is a recipient of the Patient Safety Excellence Award from Healthgrades. Key services include general medical/surgical inpatient care and treatment, critical care, emergency services, orthopedics, maternity care, and wound care. The facility offers a full spectrum of acute care services for the residents of Garden Grove and the surrounding communities. Located near the corner of Harbor and Garden Grove Boulevards, Garden Grove Hospital is close to the Disneyland Resort, the Anaheim Convention Center, and the many hotels situated in the area. For more information, visit gardengrovehospital.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 and Work Experience 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 InterQual Criteria preferred Experience and knowledge in basic to intermediate computer skills Behavioral Violence Prevention Training within 3 months of hires and maintain current. Pay Transparency Garden Grove 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. Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time. The current compensation range for this role is $49.82 to $62.22. 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 Part Time < 60 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

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 and Work Experience 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 InterQual Criteria preferred Experience and knowledge in basic to intermediate computer skills Behavioral Violence Prevention Training within 3 months of hires and maintain current.