Medical Clearance Case Manager - RN

Clear Choice•Los Angeles, CA

12d•Remote

About The Position

The RN Pre-Op Case Manager assesses, plans, implements, evaluates and documents nursing care of patients in accordance with organizational policies and in accordance with standards of professional nursing practice utilizing the framework for professional nursing practice and development. This will be a remote position, working entirely from home. The RN Pre-Op Case Manager will review medical clearances cases and ensure that requests are completed within a certain time frame before surgery. The RN Pre-Op Case Manager will be working Monday through Friday, 8 hours per day either MST or PST.

Requirements

At least 1 year experience working as a medical clearance professional, pre-ops case manager, utilization manager, or case manager preferably in a remote or hybrid environment.
At least one active state RN license, compact state licensure, and nursing diploma.
Proficient level of experience with Microsoft Office or Google Office applications and strong technical aptitude.
Strong oral and written communication skills, excellent analytical, planning, and process development skills.

Nice To Haves

Preferred completion of an accredited Certified Professional Utilization Review (CPUR) program or Certified Case Manager (CCM) issued by the Commission for Case Manager Certification.
Preferred minimum one-year licensed RN experience in PreOp/PACU (i.e. ICU, ED).
Preferred bachelor’s degree with a business concentration is required or an MBA.

Responsibilities

Coordination with Specialists – Referring patients to specialists if necessary for further labs, exams, x-rays, and clearance.
Relationship Building –Collaborates with providers and other healthcare professionals to facilitate smooth and efficient inpatient or procedural workflows.
Compliance with Standards – Ensuring all evaluations follow that center's clinical guidelines and safety regulations.
Documentation – Ensure thorough and precise documentation of patient medical histories, communications with external medical offices and clinics, and the steps taken during the clearance process. This will support ongoing evaluation of the workflow's effectiveness. Additionally, inputting and retrieving data from electronic health systems.
Communication Skills – Collaborating effectively with doctors, medical staff, and patients to get timely results. Working with center staff like Prosthetic Exam Performer (PEP) to inform them and the Prosthodontist and Oral Surgeon of how the medical clearance is moving along.
Triage and Risk Assessment – Identifying potential issues or risks that may impact the turnaround time for the medical clearance.
Multitasking and Time Management – Handling multiple patients and procedures efficiently within set deadlines.
Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards