Registered Nurse Case Manager (RN)

Shift: Days

Job type: Full Time

Hours: 0800-1630

Schedule: 10 shifts per two week pay period. Alternating weekends required.

Up to $25,000.00 Sign on Bonus for Qualified Candidates

The individual in this position has overall responsibility for overseeing the
clinical plan of care to conform to evidence-based practice and regulatory
requirements.  This position integrates care coordination, utilization
management, and discharge planning.

The individual’s responsibilities will include, but not be limited to the
following activities: a) medical necessity screening b) care coordination c)
discharge planning  d) facilitating multi-disciplinary patient care conferences
e) managing concurrent disputes f) making the appropriate referrals to other
departments (e. g., nutrition, PT/OT/ST) g ) referring complex social issues to
Social Service h ) communicating with patients and their families about the plan
of care i) collaborating with physicians, office staff and ancillary departments
(e. g., lab, pharmacy)  j) participating in weekly Complex Case Review k)
arranging for post –discharge patient education  l) clear, complete and concise
documentation in eCCM m ) maintaining accuracy of patient demographic and
insurance information  n) identifying and documenting potentially avoidable days
o) identifying and reporting over and under utilization o) and other duties as
assigned.

Attends hospital workshop led by the Director of Case Management or designee 
that includes the Tenet Case Management Model, InterQual, Discharge Planning,
Utilization Management, and other topics specific to case management. Extended
orientation with selected Case Managers may occur.   

Information used to perform job: patient data, healthcare staff documentation
related to patient care, regulatory and payor requirements

Software used to perform job: eCCM: Clinical data interface, InterQual, Case
Management documentation, secure faxing, Avoidable Day tracking, Patient Medical
Record and HPF, Hospital specific Clinical Software

Responsibilities

Priority 1: Coordination of clinical care (medical necessity, appropriateness of
care and resource utilization for admission, continued stay, discharge and post-
acute care) compared to evidence-based practice, internal and external
requirements. (40% daily, essential).

Priority 2: Identify and report variances in appropriateness of medical care
provided, over/under utilization of resources compared to evidence-based
practice and external requirements. This priority includes work with relevant
software and communicating information through clear, complete and concise
documentation in eCCM (40% daily, essential).

Priority 3:  Effective collaboration with physicians, nurses, ancillary staff,
payors, patients and families to achieve optimum clinical outcomes (10% daily,
essential).

Priority 4.  Remain current with relevant clinical/case management practices.
(10% daily, essential).

The metrics below provide an indication of the effectiveness of the individual
in this role and may be used for evaluative purposes.  The list below is not
meant to be exhaustive; other relevant metrics may exist.

Qualifications

Required

* Current California RN license
* Minimum 2 years of acute case management experience
* Minimum 5 years bedside experience or 10 years in the relevant clinical
specialty (e. g., case manager for pediatrics patients should have pediatric
nursing experience)
* Excellent organizational skills
* Excellent verbal and written communication skills
* Ability to lead and coordinate activities of a diverse group of people
* Demonstrated critical thinking and problem solving skills
* Computer literate
* Case Managers hired prior to August 2009 are grandfathered in with the same
performance expectations.

Preferred

* B. S. N. preferred

#LI-DH1

Join our dedicated healthcare team where compassion meets innovation! As a
Registered Nurse with us, you'll have the opportunity to make a meaningful
impact in patients' lives while enjoying a supportive work environment that
fosters professional growth and work-life balance. Ready to be a vital part of
our mission? Apply today and bring your passion for nursing to a place where it
truly matters!

At Desert Regional Medical Center, we understand that our greatest asset is our
dedicated team of professionals. That’s why we offer more than a job – we
provide a comprehensive benefit package that prioritizes your health,
professional development, and work-life balance. The available plans and

programs include

* Medical, dental, vision, and life insurance
* 401(k) retirement savings plan with employer match
* Generous paid time off
* Career development and continuing education opportunities
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and
critical illness insurance, long term care, elder & childcare, auto & home
insurance

Note: Eligibility for benefits may vary by location and is determined by
employment status

Desert Care Network serves the healthcare needs of the Coachella Valley and
Morongo Basin regions in Southern California with three hospitals Desert
Regional Medical Center in Palm Springs, JFK Memorial Hospital in Indio and
Hi-Desert Medical Center in Joshua Tree. The hospital network provides advanced
care with services such as comprehensive stroke care, a cancer center, a Level 1
Trauma Center and the only Level 3 Neonatal Intensive Care Unit (NICU) in the
Coachella Valley. Desert Care Network is committed to healthcare equality. Join
our team!