Discharge Planner - Utilization Management

Prime HealthcareMontclair, CA
$23Onsite

About The Position

Montclair Hospital Medical Center is a 106-bed acute care, not-for-profit community hospital, recognized for its quality and commitment to the community. As a member of Prime Healthcare, the hospital offers opportunities to make a difference. This role is in a fast-paced work environment where you can take pride in serving an underserved community. Join a team of dedicated healthcare workers at a nationally recognized, locally preferred, and community-focused institution.

Requirements

  • Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non-managed care environments.
  • Experience in basic to intermediate computer skills/knowledge.
  • High School Diploma required.

Nice To Haves

  • Current BCLS certificate required upon hire and maintain current preferred.
  • Associates degree or LVN license preferred.
  • Experience in the hospital setting preferred.

Responsibilities

  • Responsible for the coordination of the various activities of the Case Management Department under the direction of the assigned Case Manager/Social Worker.
  • Assist with development and implementations of discharge plans.
  • Assists with case management referrals and authorizations.
  • Maintains and coordinates Medicaid state submission forms for presentation to on-site reviewer and files them accordingly or as per facility’s procedure.
  • Assists with Discharge Planning as assigned by interviewing patients/families and gathering data to develop a safe patient-focused Discharge Plan.

Benefits

  • Paid Time Off
  • 401K retirement plan
  • Outstanding Medical Dental Vision Coverage
  • Tuition Reimbursement
  • Many more Voluntary Benefit Options!
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