$10K Sign-On Bonus - Registered Nurse - Utilization Review Case Manager
Company: CEDARS-SINAI
Location: Westminster
Posted on: May 8, 2022
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Job Description:
-Are you ready to bring your expert clinical skills to a
world-class facility recognized as one of the top ten in the United
States? Do you have a passion for the highest quality and patient
happiness? Then please respond to this dynamic opportunity
available with one of the best places to work in Southern
California! We would be happy to hear from you. -When the work you
do every single day has a crucial impact on the lives of others,
every effort, every detail, and every second matters. This shared
culture of happiness, passion and dedication pulses through
Cedars-Sinai, and it's just one of the many reasons we've achieved
our fifth consecutive Magnet designation for nursing excellence.
From working with a team of dedicated healthcare professionals to
using state-of-the-art facilities, you'll have everything you need
to do something incredible-for yourself, and for others. Join us,
and discover why U.S. News & World Report has named us one of
America's Best Hospitals. Summary of Essential Duties: Validate
patients' placement to be at the most appropriate level of care
based on nationally accepted admission criteria Use medical
necessity screening tools, such as InterQual or MCG criteria, to
complete initial and continued stay reviews in determining
appropriate level of patient care, appropriateness of
tests/procedures and an estimation of the patient's expected length
of stay Secure authorization for clinical services through timely
collaboration and communication with payers as required Follow the
UR process as defined in the Utilization Review Plan in accordance
with the CMS Conditions of Participation for Utilization
ReviewCollaborate with Care Coordinators to identify and follow up
on Observation class patientsFollow up with the payer to verify
approval/authorization of the hospital stay (all dates of
services)Function as an advocate, and contact person for the care
team, patient/family when communicating with payers, and or outside
agencies to ensure continuity of care, optimal clinical resource
outcomes, and appropriate financial management for the patient and
the organizationThis is an on-site position that requires the
employee to work in our office located at 6500 Wilshire Blvd. Los
Angeles, CA 90048#Jobs
Keywords: CEDARS-SINAI, Westminster , $10K Sign-On Bonus - Registered Nurse - Utilization Review Case Manager, Executive , Westminster, California
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