Case Manager (RN) - Utilization Management
Overview
San Dimas Community Hospital is a 101 bed facility located on a 13-acre campus in the heart of San Dimas. With a multidisciplinary team of experts and state of the art technology, we are committed to serving the community with personalized, high-quality care. We offer a full range of comprehensive services, including 24-hour emergency services, a family birth center, orthopedic surgery, advanced diagnostic services, cardiopulmonary and gastrointestinal services. San Dimas Community Hospital has received multiple awards including the "100 Top Hospitals," Women's Choice Award for America's Best Hospitals for Patient Safety, and Healthgrades awards, including the "Patient Safety Excellence Award." Learn more at sandimashospital.com.
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community!
Why Prime Healthcare? San Dimas Community Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to
making a difference.
San Dimas Community Hospital 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!
Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time.
This is a Fast-paced work environment in which you can take pride in serving an underserved community. Come Join a Team of Dedicated Healthcare Workers!!!
San Dimas Community Hospital 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
San Dimas Community Hospital offers competitive compensation and a reasonable compensation estimate for this role is $41.57 to $55.95. 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 DiemShift
DaysEqual 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
Average salary estimate
If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.
Provide and coordinate high-quality inpatient and outpatient pharmacy services at San Dimas Community Hospital as a licensed pharmacist focused on patient safety and departmental operations.
AdvisaCare Home Health is hiring an Intake/Insurance Coordinator to manage insurance verification, authorizations, and initial scheduling at the Grand Rapids office.
Saputo seeks a detail-oriented Quality Control Technician to perform analytical and microbiological testing and ensure product quality at its Newington, CT dairy facility.
Legends Global seeks an Illinois-licensed Event Nurse to provide on-site assessment, basic life support and triage at events hosted at the Peoria Civic Center for a competitive hourly rate.
Experienced multi-unit restaurant leader sought to lead operations, drive financial performance, and develop leaders across Raising Cane’s Cleveland region.
Northwestern Medicine seeks an experienced Director of Operations & Department Administrator II to lead Radiology administration, driving clinical, financial, and academic operations across the campus.
Live Nation seeks an experienced, hands-on Operations Manager to support food, beverage, bowling and event operations at Brooklyn Bowl Philadelphia and help deliver outstanding guest service and profitable events.
Lead daily store operations and a high-performing retail team at the GAP Palisades Center to drive sales, coach talent, and deliver excellent customer experiences.
Support store leadership and drive day-to-day operations at a busy convenience store while coaching a team and ensuring excellent customer service.
Join Northside Hospital as a Surgery Scheduler Specialist responsible for coordinating operating room and outpatient surgical appointments while serving as a key liaison with physician offices and internal departments.
Lead the Fredericksburg distribution center operations to deliver service excellence, drive continuous improvement, and develop high-performing teams while managing P&L and compliance.
Inventory Specialist needed to perform client inventory audits and storage site inspections on a part-time, on-call basis for J. Knipper and Company / KnippeRx.
Seasonal Photo Set Manager needed to operate the Beverly Center Santa photo experience, supervise staff, handle retail and cash operations, and deliver outstanding customer service during the holiday season.
Domino's Pizza seeks an experienced, store-focused General Manager to lead operations, manage staff, and deliver outstanding customer service at the Santa Cruz location.
San Dimas Community Hospital (SDCH) is located on the east end of the San Gabriel Valley, one mile off the 210, 57, and 10 freeways, in the city of San Dimas, with a population of 35,000. San Dimas is a small, caring, cohesive community reaching f...
3 jobs
🔮
Hi, I'm Risa! Your AI Career Copilot
you, just ask me below!
