RN Case Manager, Inpatient Utilization Mgmt, Per Diem, Variable (8hrs)
Company: MemorialCare Health System
Location: Long Beach
Posted on: May 3, 2021
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Job Description:
Position Summary: The case manager is a licensed professional who coordinates and
facilitates the ongoing care and appropriate discharge plan of a
specific caseload of patients through the continuum of care. The
case manager collaborates with members of the health care team, the
patient, and their family to assure effective, efficient, and
appropriate care and outcomes. Fiscal responsibilities include
management of utilization, providing clinical information to payors
and assuring appropriate reimbursement. The case manager independently manages a specific case load of
patients as identified by the Resource Management Department and
CareLines. The case manager analyzes patient information and assess
each patient's functional status and decision-making ability in
relation to the continuum of care and discharge needs. The case
manager collaborates with the health care team, patient, and family
in planning and facilitating the achievement of expected outcomes
for patients. Each treatment plan is evaluated for appropriate
quality outcomes and utilization of resources. Minimum Requirements / Work Experience: This position requires strong verbal and written communication
skills with the ability to communicate well with people from
diverse socioeconomic backgrounds. The case manager is
knowledgeable of criteria for medical necessity for each level of
care through the continuum of care. A knowledge of reimbursement
related to MediCare, MediCal, Capitation, and Managed Care is
required. Three years experience in clinical field of expertise with two
years experience in an acute setting is preferred. Current California RN License.
Keywords: MemorialCare Health System, Long Beach , RN Case Manager, Inpatient Utilization Mgmt, Per Diem, Variable (8hrs), Other , Long Beach, California
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