About this role
Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Hi-Desert Medical Center hospital, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.
At Hi-Desert Medical Center, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:
- Medical, dental, vision, and life insurance
- 401(k) retirement savings plan with employer match
- Generous paid time off
- Career development and continuing education opportunities
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance
Note: Eligibility for benefits may vary by location and is determined by employment status
Shift: Days
Job Type: Full Time
Hours: 0800-1630
Schedule: 10 shifts per two pay period. Rotating weekends required.
Up to $25,000 Sign-On bonus based on experience
The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right to self-determination. The individual in this position has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to promote timely throughput, safe discharge and prevent avoidable readmissions.
- Utilization Management supporting medical necessity and denial prevention.
- Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction.
- Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care.
- Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy.
- Education provided to physicians, patients, families and caregivers.
- Accurate medical necessity screening and submission for Physician Advisor review.
- Timely complete and concise documentation in Case Management system.
- Maintenance of accurate patient demographic and insurance information.
- Identification and documentation of potentially avoidable days.
- Identification and reporting over and underutilization.
- Other duties as assigned.
- CA Registered Nurse license
- At least two years acute hospital patient care experience
- BSN preferred
- Accredited Case Manager (ACM) preferred
- Acute hospital case management experience preferred
- Required skills include demonstrated organizational skills
- Excellent verbal and written communication skills