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RN Case Manager - Utilization Review
full-timeLynwood$0k - $0k

Summary

Location

Lynwood

Salary

$0k - $0k

Type

full-time

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About this role

Overview

St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the hospital for high quality and compassionate medical care. St. Francis is recognized for its full range of diagnostic and treatment services in specialties including Cardiovascular, Surgical, Orthopedics, Obstetrics, Pediatrics, Behavioral Health, and Emergency and Trauma Care. In addition, the hospital offers a broad array of education and outreach programs that advance community health. St. Francis Medical Center is a Comprehensive Stroke Center, STEMI Receiving Center, ED Approved for Pediatrics, Geriatric ED, Level III Neonatal ICU, and Level II Trauma Center. Please visit www.stfrancismedicalcenter.com for more information. Join an award-winning team of dedicated professionals committed to compassion, quality, and service!

 

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

St. Francis 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. Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time. The current compensation range for this role is $47.20 to $63.45. 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 Time

Shift

Evenings

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/EEOCKnowYourRightsscreenreader10_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

 

Other facts

Tech stack
Utilization Review,Case Management,Nursing,Discharge Planning,Leadership,Cost Containment,Medical Necessity,Clinical Outcomes,Computer Skills,BCLS Certification,Milliman Criteria,InterQual Criteria

About St. Francis Medical Center

Welcome to St. Francis Medical Center
Founded in 1945, St. Francis Medical Center is a valued and trusted community resource for the residents of Southeast Los Angeles.

Best Hospital in Lynwood CA
St. Francis Medical Center is recognized for its full range of diagnostic and treatment services in specialties including cardiovascular, surgical, orthopedics, and community outreach programs. We are an approved Primary Stroke Care Center and STEMI Receiving Center for Los Angeles County and are the only trauma center in our service area. Our certified Baby-Friendly® Family Life Center delivers more than 3,000 babies a year, is home to a Level III NICU, and provides expert prenatal, childbirth and postpartum care.

Team size: 1,001-5,000 employees
LinkedIn: Visit
Industry: Hospitals and Health Care

What you'll do

  • The RN Case Manager is responsible for managing the quality and resources of all patients admitted to the facility. This includes promoting cost containment and ensuring a seamless delivery of care across the healthcare continuum.

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Frequently Asked Questions

What does St. Francis Medical Center pay for a RN Case Manager - Utilization Review?

St. Francis Medical Center offers a competitive compensation package for the RN Case Manager - Utilization Review role. The salary range is USD 0k - 0k per year. Apply through Clera to learn more about the full compensation details.

What does a RN Case Manager - Utilization Review do at St. Francis Medical Center?

As a RN Case Manager - Utilization Review at St. Francis Medical Center, you will: the RN Case Manager is responsible for managing the quality and resources of all patients admitted to the facility. This includes promoting cost containment and ensuring a seamless delivery of care across the healthcare continuum..

Why join St. Francis Medical Center as a RN Case Manager - Utilization Review?

St. Francis Medical Center is a leading Hospitals and Health Care company. The RN Case Manager - Utilization Review role offers competitive compensation.

Is the RN Case Manager - Utilization Review position at St. Francis Medical Center remote?

The RN Case Manager - Utilization Review position at St. Francis Medical Center is based in Lynwood, California, United States. Contact the company through Clera for specific work arrangement details.

How do I apply for the RN Case Manager - Utilization Review position at St. Francis Medical Center?

You can apply for the RN Case Manager - Utilization Review position at St. Francis Medical Center directly 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. You can also learn more about St. Francis Medical Center on their website.