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Cedars-Sinai Utilization Management Review Case Manager - Per Diem - Case Management in Los Angeles, California

Every Skill. Every Effort.Everything We Have.

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 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 world-class 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.

Do you have the wisdom and stamina

to steer crucial treatment decisions?

As a Registered Nurse, Utilization

Review Case Manager at Cedars-Sinai,

  • You will serve as a clinical co-pilot—charting the besttrajectory of each patient’s care by accommodating various needs,including medical, psycho-social, financial and practical.

  • You will join a shared culture of passion, compassionand sophistication that will make your work experience here exhilarating.

  • Your curiosity and dream to broaden your scope ofexperience will grow and thrive in our Magnet-designated, teachingenvironment, having all the advantages of the most advanced thinking andstate-of-the-art capabilities.

  • You will validate the patient's placement to be themost appropriate level of care based on nationally accepted admissioncriteria.

  • You will use medical necessity screening tools, such asInterQual or MCG criteria, to complete initial and continued stay reviews,appropriateness of test/procedures and an estimation of the patientsexpected length of stay.

Educational Requirements:

  • BSN preferred

License/Certification/Registration Requirements:

  • Current CA RN license

  • American Heart Association BLS.

Experience:

  • 5 years Case Management experience

  • 3 years related nursing experience required

  • Knowledge of medical literature, research methodology, health care delivery systems and financial reimbursement.

  • In the role of Registered Nurse, Utilization Review Case Manager you may have the opportunity to cross train.

Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.

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