Registered Nurse (RN) - Case Manager

Prime Healthcare Services; Huntington Beach (CA); On-site; USD 64,000 - 86,000; Part time

Benefits offered by this job

401K retirement plan

Medical, dental, and vision coverage

Tuition reimbursement

Job summary

Prime Healthcare Services is seeking a part-time RN Case Manager for Huntington Beach Hospital to oversee patient admissions, ensure quality and cost containment, and coordinate care across the continuum. The role emphasizes leadership in discharge planning and collaboration with healthcare providers to achieve seamless service.

Qualified candidates will have a state RN license, at least 5 years of nursing experience, and preferred experience in case management and discharge planning; BCLS

Qualifications

• Minimum 5 years work experience post-graduation from an accredited school of nursing and current state RN license.
• RN Case Manager preferred; social work background also acceptable.
• Five years acute care nursing experience; case management or discharge planning experience preferred.
• Current BCLS (AHA) certificate, preferred.
• Knowledge of Milliman Criteria and InterQual Criteria preferred.
• Experience with basic to intermediate computer skills.

Responsibilities

• Oversee quality and resource management for admitted patients across the care continuum.
• Promote cost containment and lead integration of healthcare providers for seamless care.
• Perform admission and concurrent reviews to ensure medical necessity and appropriate level of care.
• Collaborate with teams to ensure compliant documentation and optimal patient outcomes.

Skills

Nursing

Case management

Discharge planning

Nursing management

Education

RN license

BLS certification

Job description

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Huntington Beach Hospital, a member of the Prime Healthcare Foundation, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.Founded in 1967, Huntington Beach Hospital is a 131-bed acute-care community hospital. As the only hospital in Huntington Beach, Huntington Beach Hospital is proud to be the community hospital serving the residents of Huntington Beach and the surrounding area for the past 50 years. Fully accredited by The Joint Commission, and with nearly 200 physicians and more than 400 healthcare and other professionals on staff, our team is committed to providing outstanding service in a safe, comfortable, and caring environment. Learn more at https://www.hbhospital.org/.

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

• 1. Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
• 2. 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.
• 3. Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.
• 4. Current BCLS (AHA) certificate, preferred.
• 5. Knowledge of Milliman Criteria and InterQual Criteria preferred.
• 6. Experience and knowledge in basic to intermediate computer skills.

Pay Transparency

Huntington Beach Hospital 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 $46.52 to $62.54. 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