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  • Case Manager (RN) - Utilization Management

    Prime Healthcare (Chino, CA)



    Apply Now

    Overview

     

    Chino Valley Medical Center is a 112-bed community hospital established in 1972 and centrally located in Southern California’s Chino Valley. A nine-time recipient of the Healthgrades Patient Safety Excellence Award (2014-2022), Chino Valley Medical Center has been recognized nationally for its quality, including as among the 100 Great Community Hospitals by Becker’s Hospital Review in 2018 and as among the 100 Top Hospitals by IBM Watson Health. Chino Valley Medical Center is committed to serving the community’s health care needs with top-rated emergency care as well as senior services, orthopedics, surgical services and more. Learn more atwww.cvmc.com.

     

    Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community !

     

    Why Prime Healthcare? (https://cvmc.com/careers/why-prime-healthcare/) Chino Valley Medical Center , a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

     

    Chino Valley 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

    + 401K retirement plan

    + Outstanding Medical

    + Dental

    + Vision Coverage

    + Tuition Reimbursement

    + Many more Voluntary Benefit Options! (https://www.primehealthcare.com/careers/benefits/)

     

    Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time.

     

    Chino Valley 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

     

    Chino Valley Medical Center offers competitive compensation and a reasonable compensation estimate for this role is $50.00. 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

     

    Per Diem

     

    Shift

     

    Days

     

    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/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

     

    Connect With Us! (https://careers-primehealthcare.icims.com/jobs/219949/case-manager-%28rn%29---utilization-management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306)

     

    FacilityChino Valley Medical Center

     

    LocationUS-CA-Chino

    ID2025-219949

    CategoryRN

     

    Position TypePer Diem

     

    ShiftDays

     

    Job TypeNon-Exempt

     


    Apply Now



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