Case Manager - Care Coordinator - Days

Case Manager – Care Coordinator – Days RN Job Shift: Full Time 8 hours Days (7:30 AM - 4:00 PM) (Union, Non-Exempt) Pay Range: $46.00 - $76.07 Location: Los Angeles, 90033 Job ID: 20171639 Job Description The purpose of the Case Manager position is to support the physician and interdisciplinary team in the provision of patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers. The role integrates and coordinates utilization management, care facilitation, and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay, and promote efficient utilization of resources. Responsibilities Facilitate pre-certification and payer authorization processes. Collaboratively manage patient care across the continuum. Intervene as necessary to remove barriers to timely and efficient care delivery and reimbursement. Apply process improvement methodologies in evaluating outcomes of care. Support and coach clinical documentation efforts and serve as a clinical resource for coders. Ensure documentation accurately reflects severity of illness and intensity of service. Coordinate communication with physicians. Qualifications Minimum Education: Associate’s Degree in Nursing Minimum Skills: Ability to work independently and exercise sound judgment in interactions with physicians, payers, and patients and their families. Current working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement. Excellent interpersonal communication and negotiation skills. Strong organizational and time management skills, as evidenced by a capacity to prioritize multiple tasks and role components. Understanding of pre-acute and post-acute venues of care and post-acute community resources. Strong analytical, data management, and PC skills. Required Certifications: Registered Nurse – RN (CA Board of Registered Nursing) Basic Life Support (BLS) Healthcare Provider from American Heart Association Preferred Experience: 3 years of clinical experience in Utilization Review and Discharge Planning in an Acute Hospital strongly preferred. About the Hospital Keck Medicine of USC values diversity and celebrates differences. Nurses enjoy competitive benefits, including free tuition at USC for employees and families, health care, retirement benefits, quality of life programs, and discounts on transportation passes, campus fitness center memberships, and event tickets. #J-18808-Ljbffr