Utilization Review / Discharge Planning
About The Position
This multifaceted role will focus on discharge planning, utilization review, and swing bed coordination within our healthcare facility. The Case Manager will play a pivotal role in ensuring the smooth transition of patients from the acute care setting to appropriate post-acute care options, while also managing utilization and assisting swing bed services. Location We are located at 1065 Bucks Lake Road Quincy, CA 95971 Compensation Hourly Rate: $58.98 – $84.09 (based on clinical pay scale) Job Status / Shift Information Full-time, benefited Requried to be put on administration on call schedule
Requirements
- A Minimum of three (3) years' experience in case management and utilization management.
- Bachelor's degree in a healthcare-related field (such as Nursing, or Healthcare Administration).
- Current healthcare licensure or relevant certification (e.g., RN or related lic.).
- Knowledge of insurance and Medicare/Medicaid regulations.
- Excellent communication and interpersonal skills.
- Strong organizational and time-management abilities.
- Ability to work collaboratively in a multidisciplinary healthcare team.
- Understanding of medical terminology and patient care.
- Excellent skills in crucial conversations, and emotional intelligence.
Responsibilities
- Conduct comprehensive assessments of patients' medical, social, and financial needs to develop effective discharge plans.
- Collaborate with physicians, nurses, social workers, and other healthcare professionals to ensure that patients receive the most suitable and seamless post-acute care.
- Coordinate and facilitate family meetings to educate and involve patients and their families in the discharge planning process.
- Monitor and update discharge plans to address evolving patient needs and conditions.
- Review and assess the medical necessity and appropriateness of care provided to patients.
Benefits
- Pay & Recognition
- Balanced Life
- Well-Being
- Professional Growth
- Dependent Care
- Child Care
- medical, vision, dental, 401k, retirement, paid time off, discounted memberships with Flight/American Medical Care Network, housing stipend or paid housing for first 3 months of employment, shift differentials
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What This Job Offers
Job Type
Full-time
Number of Employees
101-250 employees
