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Prime Healthcare

Acquires and reorganizes underperforming hospitals

Registered Nurse - RN, Case Manager

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Part-timeAnaheim, CA, USA$52.98 /yrIn-person

About the Job

Requirements

  • A minimum of five years of work experience after graduating from an accredited school of nursing and a current state Registered Nurse license is required for the applicable post-April 1, 2015 pathway.
  • For the grandfathered pre-April 1, 2015 pathway, a minimum of five years after graduation from an accredited school of social work and Licensed Clinical Social Worker status is specified.
  • Five years of acute-care nursing experience is preferred.
  • At least one year of experience in case management, discharge planning or nursing management is preferred.
  • A current Basic Life Support for Healthcare Providers certificate from the American Heart Association is preferred.
  • Knowledge of Milliman Criteria and InterQual Criteria is preferred.
  • Basic to intermediate computer skills and experience are required.

Responsibilities

  • Manage quality and resources for patients from admission throughout the continuum of healthcare management.
  • Advocate on behalf of patients and promote cost containment.
  • Integrate healthcare providers to support seamless care delivery.
  • Conduct comprehensive admission and concurrent medical-record reviews for medical necessity, intensity of service and severity of illness, supporting quality, clinical and cost-effective outcomes.

About the Company

Prime Healthcare

Acquires and reorganizes underperforming hospitals

Prime Healthcare operates a network of hospitals and outpatient centers across the United States, concentrating on turning around financially struggling facilities. It invests in infrastructure and technology, restructures operations, and negotiates payer terms (including pursuing higher out-of-network reimbursements) to improve financial performance, and it manages both for-profit hospitals and not-for-profit facilities through the Prime Healthcare Foundation. The company aims to raise clinical quality and patient safety while expanding access in hundreds of communities, though it has faced legal and regulatory scrutiny over billing practices and service-line decisions. Its goal is to stabilize and improve the financial and clinical performance of underperforming hospitals so they can continue serving their communities.

Company size
5,001-10,000
Company stage
Debt Financing
Total funding
$2.2B
Headquarters
Ontario, CA
Founded
2001

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