RN Case Manager in Ontario, CA at PRIME HEALTHCARE SERVICES ONTARIO

Date Posted: 6/3/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    3300 East Guasti Road
    Ontario, CA
  • Job Type:
    Other
  • Experience:
    Not Specified
  • Date Posted:
    6/3/2018

Job Description

Responsible for the quality and resource management of all authorizations and referrals with the Prime Healthcare Employee EPO. 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 insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive review of the medical record for the medical necessity, intensity of service and severity of illness.