RN Case Manager/Utilization Review (Float) Job at Keck Medicine of USC, Los Angeles, CA

ZzNaSWFIbTVQdS9KZnQxWlVJYVFaZEQzR2c9PQ==
  • Keck Medicine of USC
  • Los Angeles, CA

Job Description

The RN Float Case Manager and Utilization Review Nurse provides coverage for an RN Case Manager or RN Utilization Review Nurse. The RN Float Case Manager and Utilization Review Nurse is assigned to function in the role of either a RN Case Manager or RN Utilization Review Nurse, as provided below.

When functioning in the role of a RN Case Manager: In collaboration with the interdisciplinary team, provides care coordination services evaluating options and services required to meet an individual's health care needs to promote cost-effective, quality outcomes.

Serves as a consultant to members of the health care team in the management of specific patient populations. The RN case manager role integrates the functions of utilization management, quality management, discharge planning assessment, and coordination of post-hospital care services, including transfers to an alternative level of care.

When functioning in the role of a RN Utilization Review Nurse: The RN Utilization Management Specialist coordinates communication with admitting financial counselors, case management team, providers, patient financial services, and payers to ensure all services provided by the hospital are authorized by appropriate payer. 

Qualifications

Required Qualifications:

  • Req 3 years Clinical experience.
  • Req Knowledge of case management principles and healthcare management.
  • Req Problem solving skills and ability to multi-task.

Preferred Qualifications:

  • Pref Bachelor's degree Nursing
  • Pref 1 year Case management or utilization review experience within the last three years preferred.

Required Licenses/Certifications:

  • Req Registered Nurse - RN (CA DCA)
  • Req Basic Life Support (BLS) Healthcare Provider from American Heart Association
  • Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)

Job Tags

Full time,

Similar Jobs

Remarkable Talent

Entry Level Junior Marketing Associate Job at Remarkable Talent

 ...We are seeking a driven and self-motivated Entry Level Junior Marketing Associate to join our expanding team and assist in delivering innovative marketing strategies for our diverse clientele. This role plays a pivotal part in executing on-site promotions, marketing... 

Goodwin Recruiting

Hospitalist Physician - Nocturnist Job at Goodwin Recruiting

 ...offer state-of-the-art facilities and a collaborative environment. We are currently seeking a compassionate and highly skilled Hospitalist Physician - Nocturnist to join our dynamic Night Shift team. Hospitalist Physician Responsibilities: Provide comprehensive... 

McGuire Moorman

Recruitment Coordinator, MML Hospitality Job at McGuire Moorman

 ...results to candidates professionally. Recruitment Administration and Data Management: Maintain the applicant tracking system (ATS) and ensure candidate records are accurate and up-to-date. Prepare and send offer letters and pre-employment documents, assisting... 

Trovelle

Eyewear Face Model - Female Job at Trovelle

 ...sunglasses and fashion accessories. We connect next-generation shoppers with the designer eyewear brands they crave. Job Description: We are seeking a female model for designer eyewear photoshoots. Each photoshoot is approximately 4 hours of work. The majority of... 

Legacy Health

Clinic Services Specialist 2 - Medical Receptionist Job at Legacy Health

Clinic patients arrive with questions, concerns and hesitations. You put them at ease with a calm and friendly demeanor that exemplifies the Legacy mission. Physicians and other staff know they can rely on you to provide the best possible patient experiences, which...