Job Details

Position Description INPATIENT CASE MANAGEMENT Shift are flexible per diem - 12 hr 7:00am- 87:30Pm

Coordinates management of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs. Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management and discharge planning. Provides ongoing support and expertise through comprehensive assessment, care coordination, plan implementation and overall evaluation of individual patient needs while ensuring patient preferences. Serves as a patient advocate through resource utilization, discharge planning and addressing the holistic needs of the patient.

Facility Requirements:

• Must have BLS certification must be attached to submission packet (Must be through the American Heart Association)
• Must have 2 years recent RN Case Management & discharge planning experience in a hospital setting, Experience with medical necessity/clinical reviews and denial management (i.e., Concurrent Reviews & Inter Qual), Knowledge of long-term care, Interdisciplinary Care Transitions (ICT) rounding & Knowledge of insurance requirements
• Must have California RN license (must be attached to resume)
• Shift are flexible per diem - 12 hr 7:00am- 87:30Pm