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RN Director of Case Management

Murrieta, CA
We're working on behalf of a two hospital healthcare system that is committed to offering the surrounding communities a lifetime of affordable, accessible, high-quality healthcare. The health system serve the communities of Murrieta, Wildomar, Canyon Lake, Lake Elsinore, Temecula, Menifee, and beyond. The healthcare system focuses on patient safety, and high-quality care is evident in their many performance initiatives. Their acute care facilities offer a comprehensive range of medical services, including emergency, women’s care, gastroenterology, radiology, urology, physical therapy and more. Surgical service lines include general surgery, neurosurgery, orthopedic surgery and da Vinci® robotics. They also offer specialty programs in bariatric weight-loss surgery, total joint replacement, vascular, wound care and trauma.

We seek a Registered Nurse with three (3) or more years of leadership experience in Utilization Review and/or Case Management for the role of Director of Case Management.  in this role you will supervise, facilitate, and coordinate the Care Management system. This includes all the activities of the Care Managers and Social Workers. You will evaluate the patient care outcomes as well as the financial outcomes this system impacts. You will collaborate with all hospital departments within the health system; medical staff, Home Health Care/Hospice agencies; durable medical equipment companies; nursing homes; and others to assure patient care coordination is efficient, of high quality and cost effective. You will intervene when patient care is at risk. You will assist in teaching others how to analyze patient care data and how to present it to reach the goals of the organization. You will follow Service Excellence standards and assures that these standards are followed by the department’s associates. 

Candidates must have a Bachelors degree in nursing, health care management or other related field and be licensed as an RN in the state of California.  Preference given to candidates with a Master’s Degree.  Must have five (5) or more years of experience that includes at least three (3) years of Utilization Management/Case Management experience.  Must demonstrate well developed problem solving, communication and interpersonal skills. Must have effective written and verbal communication skills. Must be able to define problems, collect data, establish facts and draw conclusions. Must demonstrate knowledge of principles of utilization management and case management. Must have strong knowledge of regulatory compliance standards (CMS, Title 22, TJC).

This is an excellent opportunity to live and work in a beautiful part of southern California while joining a national healthcare organization that boasts a broad offering of clinical services, recognizes leadership and talent, promotes diversity, and promotes individual growth utilizing a team oriented approach. For more information call 941.739.1400 or submit your resume now by clicking on the button below that says "Apply Now."
Eric Boelkins
Edge Recruitment Solutions
888.666.2450 or 941.739.1400
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