RN Case Manager Full Time Days

JFK Memorial Hospital has provided medical care to residents in the Coachella Valley since 1966. A group of physicians, including Dr. Reynaldo Carreon, founded the hospital and today one of JFK’s cross streets is named in his honor. 

Originally called Indio Community Hospital, JFK has grown to a 145-bed acute-care hospital that is part of Tenet Healthcare California. It offers a variety of services, including: 

• Emergency care 24/7 
• Orthopedic and joint replacement services using emerging technology 
• Cardiovascular services 
• Maternity care and pediatric services 
• Ambulatory surgery center 
• Imaging services 
• Outpatient Rehabilitation Center

POSITION DESCRIPTION:
The scope of duties encompasses a variety of tasks related to performing the following: integrated concurrent review for utilization; quality and risk; discharge planning; and case referrals for patients.  This position works with medical and professional staffs to obtain appropriate clinical documentation for review and to meet inpatient criteria by the Interqual Guidelines. The Case Managers are responsible for the research and appeal UR denials; micro management of patients to ensure appropriate and timely resource utilization; timely and accurate communication to insurance utilization review for certification of admission and continued stay. This position also coordinates patient care with an interdisciplinary team; screens and coordinates authorization of requests for capitated services for all assigned managed care where the hospital has a financial responsibility;  participates in peer review; and is pro-active in reducing avoidable days.   Hours vary depending upon assignment.  Rotate Saturday/Sunday coverage.  This is a non-exempt position.

 

Shift: Days

Hours: 0800-1630

Schedule: 5 shifts weekly. Some weekends and holidays required. 

QUALIFICATIONS:

1. Current license as a Registered Nurse in California, or related health care professional
2. 1-3 years Case Management/UM experience in an acute care facility
3. CPR
4. Knowledge and experience with Medi-Cal – preferred
5. Good communication skills and ability to work with others
6. Basic computer skills

MANDATORY REQUIREMENTS:

Requirements:

Annual Requirements:

1. Orientation
2. Annual Update
3. Ethics Training
4. Child Abuse Identification
5. Elder Abuse Identification
6. Conflict Resolution
7. California RN License
8. CPR

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Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

Who We Are
We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.
Our Story
We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.
We have a rich history at Tenet. There are so many stories of compassionate care; so many "firsts" in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.
Our Impact Today
Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.
Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clien