Registered Nurse - Utilization Management - PER_DIEM - 8 Hour Days

Cedars-Sinai Medical Center•Los Angeles, CA

2d•Onsite

About The Position

Are you ready to bring your expert clinical skills to a world-class facility recognized as one of the top ten in the United States? Do you have a passion for the highest quality and patient happiness? Then please respond to this dynamic opportunity available with one of the best places to work in Southern California! We would be happy to hear from you. 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 happiness, 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 dedicated 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. As a Registered Nurse, Utilization Review Case Manager at Cedars-Sinai, You will serve as a clinical co-pilot—charting the best trajectory of each patient’s care by accommodating various needs, including medical, psycho-social, financial and practical. You will join a shared culture of passion, compassion and sophistication that will make your work experience here exhilarating. Your curiosity and dream to broaden your scope of experience will grow and thrive in our Magnet-designated, teaching environment, having all the advantages of the most advanced thinking and state-of-the-art capabilities. You will validate the patient's placement to be the most appropriate level of care based on nationally accepted admission criteria. You will use medical necessity screening tools, such as InterQual or MCG criteria, to complete initial and continued stay reviews, appropriateness of test/procedures and an estimation of the patients expected length of stay.

Requirements

Graduate of an accredited nursing program required
Current, unrestricted California RN license required
American Heart Association BLS required
A minimum of 5 years of Case Management experience required
At least 3 years of related nursing experience required
Knowledge of medical literature, research methodology, health care delivery systems and financial reimbursement required

Nice To Haves

BSN preferred

Responsibilities

Serve as a clinical co-pilot, charting the best trajectory of each patient’s care by accommodating various needs, including medical, psycho-social, financial and practical.
Validate the patient's placement to be the most appropriate level of care based on nationally accepted admission criteria.
Use medical necessity screening tools, such as InterQual or MCG criteria, to complete initial and continued stay reviews, appropriateness of test/procedures and an estimation of the patients expected length of stay.