MH
Case Manager (RN) - Utilization Management
full-time•Montclair•$0k - $0k
About this role
Overview
Montclair Hospital Medical Center is a 106-bed acute care, not-for-profit community hospital, received the “100 Top Hospital” in the nation award from IBM Watson Health, the Patient Safety Excellence award from Healthgrades®, and the Women's Choice Award® for America's Best Emergency Care. For more information visit Montclair-hospital.org
At Montclair Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community!
Why Prime Healthcare? Montclair Hospital Medical Center is a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
Our Total Rewards package includes, but is not limited to:
- Paid Time Off
- 401K retirement plan
- Outstanding Medical
- Dental
- Vision Coverage
- Tuition Reimbursement
- 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.
This is a Fast-paced work environment in which you can take pride in serving an underserved community. Come Join a Team of Dedicated Healthcare Workers!!!
Montclair Hospital Medical Center is nationally recognized, locally preferred, and community focused.
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
Montclair 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. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $41.57 to $55.95. 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
Full TimeShift
DaysEqual 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
What you'll do
- The Case Manager is responsible for managing the quality and resources for all patients admitted to the facility, ensuring effective healthcare delivery. This includes conducting comprehensive reviews of medical records for necessity and severity of illness.
About Montclair Hospital Medical Center
Montclair Hospital Medical Center is dedicated to maintaining a safe environment for your care. We have implemented rigorous safety measures to ensure the well-being of our patients and their families without compromising on the quality of care.
As a 106-bed, not-for-profit acute-care community hospital and member of the Prime Healthcare Foundation, we proudly serve the Inland Empire area with a commitment to excellence. Since becoming part of Prime Healthcare in 2010, Montclair Hospital Medical Center has emerged as a leading healthcare provider in our region. Our team of highly qualified medical professionals strives to deliver outstanding patient experiences in a supportive environment.
Under the leadership of Prime Healthcare, we adhere to high standards of care, including initiatives like the Customer Care Chain Program, focused on achieving excellence in patient satisfaction.
Montclair Hospital Medical Center has earned multiple accolades, including repeated ‘A’ grades in patient safety from The Leapfrog Group since Spring 2020. Additionally, our efforts in heart failure management have been recognized by the American Heart Association, and we have been named a "100 Top Hospital" by IBM Watson Health on four occasions.
Choose Montclair Hospital Medical Center for your healthcare needs, where professionalism and dedication to patient safety are paramount.
Ready to join Montclair Hospital Medical Center?
Take the next step in your career journey
Frequently Asked Questions
What does Montclair Hospital Medical Center pay for a Case Manager (RN) - Utilization Management?
Montclair Hospital Medical Center offers a competitive compensation package for the Case Manager (RN) - Utilization Management role. The salary range is USD 0k - 0k per year. Apply through Clera to learn more about the full compensation details.
What does a Case Manager (RN) - Utilization Management do at Montclair Hospital Medical Center?
As a Case Manager (RN) - Utilization Management at Montclair Hospital Medical Center, you will: the Case Manager is responsible for managing the quality and resources for all patients admitted to the facility, ensuring effective healthcare delivery. This includes conducting comprehensive reviews of medical records for necessity and severity of illness..
Is the Case Manager (RN) - Utilization Management position at Montclair Hospital Medical Center remote?
The Case Manager (RN) - Utilization Management position at Montclair Hospital Medical Center is based in Montclair, California, United States. Contact the company through Clera for specific work arrangement details.
How do I apply for the Case Manager (RN) - Utilization Management position at Montclair Hospital Medical Center?
You can apply for the Case Manager (RN) - Utilization Management position at Montclair Hospital Medical Centerdirectly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process.