Registered Nurse Case Manager (RN)

Healthcare Leader OpportunityAre you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At John F. Kennedy Memorial Hospital, we are seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.At John F. Kennedy Memorial Hospital, 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 insurance401(k) retirement savings plan with employer matchGenerous paid time offCareer development and continuing education opportunitiesHealth savings accounts, healthcare & dependent flexible spending accountsEmployee Assistance program, Employee discount programVoluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insuranceNote: Eligibility for benefits may vary by location and is determined by employment statusJob SummaryShift: DaysJob type: Full TimeHours: 0800-1630Schedule: 10 shifts per two week pay period. Every other weekend required.Up to $25,000 Sign-On bonus based on experience!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.Qualifications1. Current license as a Registered Nurse in California, or related health care professional 2. Three (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 skillsOrganization Description: 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!Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.