• Case Manager RN - Enhanced Care Management

    Prime Healthcare (Victorville, CA)


    Overview

     

    Join an award-winning team of dedicated professionalscommitted to our core values ofquality, compassion and community! Desert Valley Medical Group is affiliated with Desert Valley Hospital, one of the nation’s“100 Top Hospitals”and“A” rated for patient safety. We offer incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

     

    Desert Valley Hospital, along with Desert Valley Medical Group, offerskey servicesto the community includingheart care, emergency services, labor and delivery, surgical services and more. For more information visit www.DesertValleyHospital.com .

     

    Desert Valley Medical Groupoffers 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/)

    Responsibilities

    The Case Manager Registered Nurse (CMRN) works collaboratively as part of the ECM team and is responsible for the quality and resource management of ECM patients across the continuum of the health care management. Supports ECM patients with complex medical conditions and completes medication reconciliation in collaboration with pharmacy as available for all ECM patients. 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 ensure 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. Current state Registered Nurse license.

    2. One year work experience post-graduation of an accredited school of nursing preferred.

    3. Current BCLS (AHA) certificate, preferred.

    4. Knowledge of Milliman Criteria and InterQual Criteria preferred.

    5. Experience and knowledge in basic to intermediate computer skills.

     

    Pay Transparency

     

    Desert Valley Medical Group 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 $38.50 to $55.21. 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

     

    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/231475/case-manager-rn---enhanced-care-management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306)

     

    FacilityDesert Valley Medical Group

     

    LocationUS-CA-Victorville

    ID2025-231475

    CategoryRN

     

    Position TypeFull Time

     

    ShiftDays

     

    Job TypeNon-Exempt