Utilization Review Case Manager Extra on Call Nights

Employment Type:

Shift:

Description:

Reporting to the Manager Social Services Social Services this position coordinates utilization review service for defined patient populations across the acute care continuum. This includes discharge planning utilization management care coordination collaboration and support for resource utilization. This position works collaboratively with an interdisciplinary team to improve patient care through the effective utilization of the facilitys resources.

Requirements

1. Current licensure as a Registered Nurse (RN) in the state of California is required.
2. Current American Heart Association (AHA) Healthcare Provider CPR card is preferred.
3. Degree from an accredited baccalaureate nursing program (BSN) is preferred.
4. Certified Case Manager (CCM) national certification is preferred.
5. InterQual training must be obtained within six (6) months of hire into position.
6. Previous experience in at least two (2) areas of clinical specialty in an acute care setting is required.
7. Excellent communication skills critical thinking creative problem-solving skills and competent organizational and planning skills are required.
8. The incumbent must be self-directed and able to tolerate frequent interruptions with a demanding workload.
9. Knowledge regarding hospital protocol and procedures clinical standards and outcomes funding options familiarity with community resources and outside professional agencies familiarity with federal and state regulations governing hospital and home care as well as understanding of the financial structure of health plan and delivery system is preferred.

Pay Range

$49.47 - $71.74

Our Commitment

Rooted in our Mission and Core Values we honor the dignity of every person and recognize the unique perspectives experiences and talents each colleague brings. By finding common ground and embracing our differences we grow stronger together and deliver more compassionate person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other status protected by federal state or local law.

Required Experience:

Manager