Utilization Review Case Manager Extra on Call
About the role
This position coordinates utilization review service for defined patient populations across the acute care continuum, including discharge planning, utilization management, care coordination collaboration, and support for resource utilization. The role works collaboratively with an interdisciplinary team to improve patient care through the effective utilization of the facility's resources.
Requirements
- Current licensure as a Registered Nurse (RN) in the state of California
- Current American Heart Association (AHA) Healthcare Provider CPR card (preferred)
- Degree from an accredited baccalaureate nursing program (BSN) (preferred)
- Certified Case Manager (CCM) national certification (preferred)
- InterQual training must be obtained within six (6) months of hire
- Previous experience in at least two (2) areas of clinical specialty in an acute care setting
- Excellent communication skills, critical thinking, creative problem-solving skills, and competent organizational and planning skills
- Self-directed and able to tolerate frequent interruptions with a demanding workload
Preferred knowledge includes 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, and understanding of the financial structure of health plan and delivery system.
Pay
Pay Range: $49.47 - $71.74 per hour