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4 Lead Case Manager (RN) - Utilization Management Jobs in Chino, CA

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California Department of Corrections and Rehabilitation
Chino, CA | Full Time
$43k-54k (estimate)
7 Days Ago
Chino Valley Medical Center
Chino, CA | Full Time
$91k-110k (estimate)
7 Days Ago
Chino Valley Medical Center
Chino, CA | Full Time
$91k-110k (estimate)
1 Week Ago
Chino Valley Medical Center
Chino, CA | Full Time
$91k-110k (estimate)
1 Week Ago
Lead Case Manager (RN) - Utilization Management
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$91k-110k (estimate)
Full Time 1 Week Ago
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Chino Valley Medical Center is Hiring a Lead Case Manager (RN) - Utilization Management Near Chino, CA

Overview:

Chino Valley Medical Center is a 112-bed community hospital established in 1972 and centrally located in Southern Californias 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 Beckers Hospital Review in 2018 and as among the 100 Top Hospitals by IBM Watson Health. Chino Valley Medical Center is committed to serving the communitys health care needs with top-rated emergency care as well as senior services, orthopedics, surgical services and more. Learn more at www.cvmc.com.

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

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 moreVoluntary Benefit Options!

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.

We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

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

Responsibilities:

The working Lead of Case Management is responsible for providing supervision to the case managers, social workers, coordinators/discharge planners, utilization review coordinators and utilization review technicians. Provides oversight 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

Required qualifications:

1. Licensed clinician in your state.
2. Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school of Social Work for Licensed Clinical Social Worker.
3. CCM obtained within 6 months with a minimum of 2 years experience.
4. Experience and knowledge in basic to intermediate computer skills.

Preferred qualifications:

1. Minimum 5 years of acute care experience preferred.
2. At least one-year experience in case management, discharge planning or management, preferred.
3. Current BCLS certificate preferred.
4. Knowledge of Milliman Criteria and InterQual Criteria preferred.

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, 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 $26.25 to $31.24. 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.

Job Summary

JOB TYPE

Full Time

SALARY

$91k-110k (estimate)

POST DATE

05/01/2024

EXPIRATION DATE

05/20/2024

WEBSITE

cvmc.com

HEADQUARTERS

CHINO, CA

SIZE

500 - 1,000

FOUNDED

1972

TYPE

Private

CEO

PREM REDDY

REVENUE

$10M - $50M

INDUSTRY

Hospital

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About Chino Valley Medical Center

Chino Valley Medical Center provides general medical and surgical care services.

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