Registered Nurse (RN) - Case Manager

Garden Grove Hospital; Garden Grove (CA); On-site; USD 69,000 - 86,000; Part time

Job summary

Garden Grove Hospital Medical Center in Garden Grove, CA seeks an experienced nurse case manager or social work professional to optimize patient care from admission through discharge. The role emphasizes quality, cost containment, and integration of care across providers.

The ideal candidate has RN licensure or LCSW credentials with relevant acute-care experience, plus knowledge of clinical criteria and computer skills. This is a part-time, day-shift position within a community-focused hospital.

Qualifications

• 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.

Responsibilities

• Quality and resource management of all admitted patients across the continuum of care.
• Advocate for cost containment and promote integrated care delivery.
• Lead integration of health care providers to achieve seamless delivery of care.
• Perform holistic admission and concurrent review of the medical record for necessity, intensity of service, and severity of illness.

Skills

Case management

Discharge planning

Nursing management

Computer skills

Behavioral Violence Prevention

Education

Registered Nurse license

Licensed Clinical Social Worker

Tools

Milliman Criteria

InterQual Criteria

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.

• paid time off
• a 401K retirement plan
• medical, dental, and vision coverage
• tuition reimbursement
• many more voluntary benefit options

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