UM Specialist LVN - Sharp Extended Care - Copley Drive - Days - FT

Sharp Healthplan • San Diego, CA

70d • $37 - $53

About The Position

To provide comprehensive utilization management and coordination of care for members who are confined to skilled nursing facilities (SNF) in collaboration with designated SNF physician or Sharp Community Medical Group primary care physician, as appropriate to ensure cost effective quality service throughout the continuum of care.

Requirements

• Graduate of an accredited Licensed Vocational Nurse (LVN) program
• 3 Years experience in the acute patient care and/or SNF setting.
• California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians -REQUIRED

Nice To Haves

• Experience as a case manager or discharge planner interacting with managed care payers.

Responsibilities

• Act as a resource
• Census and rounds
• Chart review
• Demonstrates knowledge of department policies and procedures
• Plan of care

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities
• Education Level: No Education Listed
• Number of Employees: 251-500 employees