What are the responsibilities and job description for the RN Case Manager II Per Diem Days position at John F. Kennedy Memorial Hospital?
JFK Memorial Hospital has provided medical care to residents in the Coachella Valley since 1966. A group of physicians, including Dr. Reynaldo Carreon, founded the hospital and today one of JFK’s cross streets is named in his honor.
Originally called Indio Community Hospital, JFK has grown to a 145-bed acute-care hospital that is part of Tenet Healthcare California. It offers a variety of services, including:
•Emergency care 24/7
•Orthopedic and joint replacement services using emerging technology
•Cardiovascular services
•Maternity care and pediatric services
•Ambulatory surgery center
•Imaging services
•Outpatient Rehabilitation Center
POSITION DESCRIPTION:
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 Internal 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. This position also coordinates patient care with an interdisciplinary team; screens and coordinates authorization of requests for capitated services for all assigned managed care where the hospital has a financial responsibility; participates in peer review; and is pro-active in reducing avoidable days. Hours vary depending upon assignment. Rotate Saturday/Sunday coverage. This is a non-exempt position.
Shift: Days
Hours:
2503002519
