RN Case Manager – Acute Care & Discharge Planning

Prime Healthcare; Inglewood (CA); On-site; USD 98,000 - 136,000; Full time

Job summary

Centinela Hospital Medical Center, a Prime Healthcare facility in Inglewood, CA, seeks an experienced RN to lead quality and resource management for admitted patients. The role emphasizes admission reviews, cost-effective outcomes, and collaboration with care teams.

The ideal candidate has CA RN licensure, 5+ years in acute care nursing, and at least 1 year in case management or discharge planning, with BCLS and computer skills preferred.

Qualifications

• Current California State Registered Nurse (RN) license required.
• 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 with basic to intermediate computer skills.

Responsibilities

• Oversee quality and resource management of all admitted patients across the care continuum.
• Promote cost containment and lead integration of care providers for seamless delivery.
• Facilitate admission and concurrent chart reviews for medical necessity and severity of illness.

Skills

RN license

Acute care nursing

Case management

BCLS

InterQual/Milliman criteria

Clinical computer skills

Education

California RN license

Tools

Milliman Criteria

InterQual Criteria

Basic computer skills

Job description

Centinela Hospital Medical Center, a Prime Healthcare facility in Inglewood, CA, seeks an experienced RN to lead quality and resource management for admitted patients. The role emphasizes admission reviews, cost-effective outcomes, and collaboration with care teams.

The ideal candidate has CA RN licensure, 5+ years in acute care nursing, and at least 1 year in case management or discharge planning, with BCLS and computer skills preferred.