RN Case Manager Role open at Prime Healthcare Services in Garden City, Michigan, United States

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion, and community! Garden City Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Garden City Hospital is a 176-bed community hospital delivering high-quality comprehensive care at the Main Hospital location, in addition to a second ER at the Westland Community Health Center. In addition to being recognized among the "100 Top Hospitals" in the nation by Fortune/Merative, the hospital has been ranked nationally for clinical excellence with a 5-Star Overall Quality Award ™ from Healthgrades and recognized with Five Star Awards for pacemaker procedures, hip fracture treatment, gallbladder removal surgery and treatment of sepsis. Garden City Hospital has earned HFAP certification as a primary stroke center and Gold Plus standing from the American Heart Association, and is a Blue Shield of Michigan Blue Distinction Center for Hip & Knee Replacement and Maternity Care. Garden City Hospital is also recognized as a teaching hospital, offering medical education to students, residents and fellows from across the country. For more information, visit www.gch.org.

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

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 and Work Experience

Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.

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.

Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.

Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.

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.

Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.

Current BCLS (AHA) certificate upon hire and maintain current;

Knowledge of Milliman Criteria and InterQual Criteria preferred.

Experience and knowledge in basic to intermediate computer skills.

Behavioral Violence Prevention Training within 3 months of hires and maintain current.

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Job Expired