Case Manager (RN) - Utilization Management

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📍 Chino, CA, USCONTRACTOR

About this role

Overview

 

 

Chino Valley Medical Center is a 112-bed community hospital established in 1972 and centrally located in Southern California’s Chino Valley. A nine-time recipient of the Healthgrades Patient Safety Excellence Award (2014-2022), Chino Valley Medical Center has been recognized nationally for its quality, including as among the 100 Great Community Hospitals by Becker’s Hospital Review in 2018 and as among the 100 Top Hospitals by IBM Watson Health. Chino Valley Medical Center is committed to serving the community’s health care needs with top-rated emergency care as well as senior services, orthopedics, surgical services and more. Learn more at www.cvmc.com.

 

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community!

 

Why Prime Healthcare? Chino Valley Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

 

Chino Valley Medical Center 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
  • 401K retirement plan
  • Outstanding Medical
  • Dental
  • Vision Coverage
  • Tuition Reimbursement
  • Many more Voluntary Benefit Options!

Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time.

 

Chino Valley Medical Center is nationally recognized, locally preferred, and community focused.

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
  • Pay Transparency

    Chino Valley Medical Center offers competitive compensation and a reasonable compensation estimate for this role is $51.00. 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

    Per Diem

    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

     

    Frequently Asked Questions

    Is the salary disclosed for the Case Manager (RN) - Utilization Management position at primehealthcare?
    The salary for this Case Manager (RN) - Utilization Management role at primehealthcare is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
    Where is the Case Manager (RN) - Utilization Management position at primehealthcare located?
    This Case Manager (RN) - Utilization Management role at primehealthcare is based in Chino, CA, US. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
    Is the Case Manager (RN) - Utilization Management role at primehealthcare full-time or part-time?
    This is listed as a CONTRACTOR position. It is posted as a Case Manager (RN) - Utilization Management role in the RN department at primehealthcare.
    Which team or department does the Case Manager (RN) - Utilization Management at primehealthcare belong to?
    This Case Manager (RN) - Utilization Management position is part of the RN department at primehealthcare. See the full job description for more information about the team structure and responsibilities.
    How do I apply for the Case Manager (RN) - Utilization Management position at primehealthcare?
    Click the "Apply Now" button on this page. You will be redirected to primehealthcare's official application portal hosted on icims where you can submit your application directly.
    When was the Case Manager (RN) - Utilization Management job at primehealthcare posted?
    This Case Manager (RN) - Utilization Management position at primehealthcare was posted on Jun 9, 2026. Apply as soon as possible — early applications are often reviewed first.
    Case Manager (RN) - Utilization Management
    primehealthcare
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