RN Case Manager - Utilization & Care Coordination

Keck Medicine of USC; Glendale (CA); On-site; USD 65,000 - 106,000; Full time

Job summary

Keck Medicine of USC seeks a registered nurse to manage admissions and perform concurrent or retrospective reviews in an acute care setting. Responsibilities align with PRO, JCAHO standards and insurer contracts, under the Performance Improvement Committee guidelines.

Requirements include current CA RN license (BSN preferred) and AHA BCLS certification; recent utilization/quality/case management experience is preferred. This position is based at USC Verdugo Hills Hospital in Glendale.

Qualifications

• Current RN license in the State of California (BSN preferred).
• Recent experience in Utilization/Quality/Case Management in acute care setting preferred.
• Current BCLS certificate from the American Heart Association.

Responsibilities

• Admissions responsibility and concurrent or retrospective reviews of patients per policy.
• Ensure alignment with PRO regulations, JCAHO standards and insurers/contracts.
• Follow Performance Improvement Committee approved criteria and procedures.

Skills

Utilization review

Quality management

Case management

Education

RN license CA

BSN preferred

Job description

Keck Medicine of USC seeks a registered nurse to manage admissions and perform concurrent or retrospective reviews in an acute care setting. Responsibilities align with PRO, JCAHO standards and insurer contracts, under the Performance Improvement Committee guidelines.

Requirements include current CA RN license (BSN preferred) and AHA BCLS certification; recent utilization/quality/case management experience is preferred. This position is based at USC Verdugo Hills Hospital in Glendale.