Under the general supervision of the Case Management Director, the Case Manager, RN manages clinical resource utilization and documentation effecting reimbursement.  

In this position the Case Manager, RN will provide utilization education, identification of inefficiencies in resource utilization, and acting as resource to staff and physicians of San Gorgonio Memorial Hospital in documentation for effective reimbursement.

The Case Management RN will be required to consistently demonstrate effective communication skills and the ability to successfully interact with patients and families and to form collaborative relationships with staff, physicians, and outside payors representatives.

Qualifications

• ADN / BSN in Nursing.
• Current CA RN License.  3 year's minimum clinical nursing experience.  
• Prefer 1-2 years experience in U.R., or C.M.  
• Knowledge and experience with Medi-Cal.  
• Knowledge and experience with InterQual (CERME) or other national standard.  
• Data Entry skills, Basic Computer Skills.  
• Excellent communication skills and ability to work with others.

About the Hospital

We are proud of the communities we serve, and it shows…
“Community” is everything we do since 1951, whether it’s in the facilities we build or the services we provide. Originally built as a war memorial, the hospital is continuing to be built by our community through new construction funded by passage of Measure “A.” “Community” is the life of San Gorgonio Memorial Hospital—your health and well-being is our focus.