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.
- BSN preferred
Current CA RN license
American Heart Association BLS.
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.