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Case Manager RN - Social Work

Prime Healthcare

Victorville, CAFull-time$38.5–55.21/hrSeen 1w agoSeen in employer's feed today

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At a glance

Compensation
$38.5–55.21/hr
Location
Victorville, CA
Schedule
Full-time
Work Authorization
Not specified

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Requirements

Credentials this posting asks for.

Registered Nurse License

Job overview

The Case Manager RN coordinates patient care from admission through discharge, supporting quality, clinical, and cost-effective outcomes. The role reviews medical records for medical necessity, severity of illness, and intensity of services, advocates for patients and families, and works with interdisciplinary healthcare teams to facilitate care transitions and resource management.

Skills & qualifications

RequiredNice to have

Skills

Care CoordinationPatient AdvocacyAdmission ReviewConcurrent ReviewMedical Necessity ReviewDischarge PlanningComputer SkillsMilliman CriteriaInterQual Criteria

Qualifications

Five Years Nursing ExperienceOne Year Case Management or Related ExperienceRegistered Nurse LicenseFive Years Acute Care Nursing ExperienceCCM Certification or Within One YearBCLS Certificate

Benefits

Medical Insurance
Dental Insurance
Vision Insurance
Paid Time Off
Tuition Assistance
401(k) Match

Full job description

Overview

Case Manager RN – Social Work

Schedule:Full-Time | Days (8:00 AM - 5:00 PM) | Rotating WeekendsDepartment:Social Work ServicesLocation:Desert Valley Hospital | Victorville, CACompensation:$38.50 - $55.21 per hour(based on experience and qualifications)

Lead Coordinated, Patient-Centered Care

Are you a compassionate Registered Nurse with a passion for care coordination, patient advocacy, and achieving positive outcomes? JoinDesert Valley Hospital, a proud member ofPrime Healthcare, where quality, compassion, and community are at the heart of everything we do.

As aCase Manager RN, you will play a critical role in coordinating care across the continuum, ensuring patients receive the appropriate level of care while promoting quality outcomes, efficient resource utilization, and a seamless healthcare experience. Working closely with physicians, social workers, nurses, and interdisciplinary teams, you will serve as an advocate for patients while supporting the delivery of high-quality, cost-effective care.

This is an excellent opportunity to combine your clinical expertise and leadership skills while advancing your career within one of the nation's leading healthcare systems.

Why Join Desert Valley Hospital?

Desert Valley Hospitalis a148-bed acute care hospitaland nationally recognized, award-winning healthcare organization dedicated to delivering exceptional patient care to the High Desert community. As part ofPrime Healthcare, you'll benefit from the resources, stability, and career growth opportunities of a leading healthcare network while contributing to a culture of clinical excellence and compassion.

Recognized for Excellence:

  • Named among the nation's100 Top Hospitals®for outstanding clinical performance and patient outcomes.

  • Recipient of theHealthgrades Patient Safety Excellence Award™for commitment to safe, high-quality care.

  • Recognized as one of the100 Great Community Hospitalsin the nation.

  • Recipient of numerousFive-Star Healthgrades ratingsacross multiple clinical specialties and service lines.

  • Proudly serving the High Desert community with comprehensive inpatient, outpatient, emergency, and specialty care services.

What You'll Do

As aCase Manager RN, you will coordinate and manage patient care from admission through discharge, ensuring quality, clinical, and cost-effective outcomes. Responsibilities include:

  • Conduct admission and concurrent reviews to evaluate medical necessity, severity of illness, and intensity of services.

  • Coordinate care across the continuum to support safe, efficient, and timely treatment plans.

  • Advocate for patients and families while promoting quality outcomes and resource management.

  • Collaborate with physicians, nurses, social workers, and other healthcare professionals to ensure seamless care delivery.

  • Facilitate discharge planning and transition-of-care activities.

  • Monitor patient progress and identify opportunities to improve quality, efficiency, and patient satisfaction.

  • Maintain accurate documentation and ensure compliance with regulatory and hospital standards.

What We Offer

  • Competitive compensation package

  • Comprehensive medical, dental, and vision benefits

  • Paid time off and paid holidays

  • Tuition reimbursement and continuing education opportunities

  • Professional development through Prime Healthcare's PrimE Academy

  • Employee assistance and wellness programs

  • Supportive and collaborative team environment

  • Career advancement opportunities within the Prime Healthcare network

Why Victorville?

Victorville offers an affordable cost of living, family-friendly communities, and convenient access to Southern California's outdoor recreation opportunities. Enjoy hiking, camping, mountain adventures, and weekend trips to nearby beaches, all while building a rewarding healthcare career in a growing community.

Make a Difference

If you are a dedicated nursing professional who is passionate about patient advocacy, care coordination, and improving healthcare outcomes, we encourage you to apply and become part of a team committed to delivering exceptional care and service.

Join Desert Valley Hospital and help ensure every patient receives coordinated, compassionate, and high-quality care throughout their healthcare journey.

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 ensure 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, EXPERIENCE, TRAINING

Required Qualifications:

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

  • At least one year experience in case management, discharge planning or nursing management

  • Experience and knowledge in basic to intermediate computer skills.

Preferred Qualifications:

  • Five years of acute care nursing experience. preferred

  • CCM or obtained within 1year

  • Knowledge of Milliman Criteria and InterQual Criteria preferred.

  • Current BCLS certificate, preferred

#LI-TP3

Pay Transparency

Desert Valley Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $38.50 to $55.21. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf

Privacy Notice

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

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FacilityDesert Valley Hospital

LocationUS-CA-Victorville

ID2026-282879

CategoryRN

Position TypeFull Time

ShiftDays

Job TypeNon-Exempt

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