Inpatient RN/ LVN Case Manager
Los Angeles, California
Employer: Medix
Industry: Care Management
Salary: $55 - $62 per hour
Job type: Full-Time
Medix is looking to hire an Inpatient UM RN/LVN Case Manager in Van Nuys, 91405 with a not-for-profit long-term acute care hospital.
The Case Manager is responsible for reviewing patient admissions and ongoing hospital stays to ensure they are medically necessary and appropriate and obtain Insurance authorization. This role involves assessing patient records, coordinating with healthcare providers, and adhering to regulatory guidelines to secure authorization from insurance for continued inpatient care.
Responsibilities:
Requirements / Experience:
Schedule:
Pay range:
Benefits:
The Case Manager is responsible for reviewing patient admissions and ongoing hospital stays to ensure they are medically necessary and appropriate and obtain Insurance authorization. This role involves assessing patient records, coordinating with healthcare providers, and adhering to regulatory guidelines to secure authorization from insurance for continued inpatient care.
Responsibilities:
- Partners with medical staff, utilizes scientific evidence for best practices, relevant data and compliance with the mission/philosophy, standards, goals and core values.
- Participates in the development of patient focused long/short term goals, implementing, evaluating and modifying the care plan.
- Collects and reports utilization data and quality information, such as delays in service, possible avoidable days, provider preventable conditions, readmissions, and length of stays, etc.
- Assists in preparing UM/QI case issues, gathering requested records/responses.
- Consults with the nursing staff working directly with clients in the nursing care areas. Provides instruction to hospitalized members and their families; and serves as liaison between the member, the physician, the hospital and the Plan.
- Case Manager completes appropriate, accurate and timely, documentation into the EMR system every shift.
Requirements / Experience:
- Active CA Registered Nurse or LVN license required (BSN preferred)
- Acute clinical experience
- Experienced in Inpatient case management, UR/UM
- Possesses knowledge of applicable regulatory standards and is able to perform audits based upon these standards
- Thorough knowledge of UR concepts
- Computer literate
- Excellent verbal and written communication skills
Schedule:
- Monday- Friday 8:00 -5:00 pm
- Open to 4/10s
Pay range:
- RN: $55 - $62/hour
- LVN: $30 - $45/hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible schedule
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
Created: 2024-09-27
Reference: 234233_1727220129
Country: United States
State: California
City: Los Angeles
ZIP: 90291
Similar jobs:
-
Registered Nurse (RN) - Case Management
TLC Nursing in Saint Helena, California -
Registered Nurse (RN) - Case Management
TLC Nursing in Ukiah, California -
Case Manager - Inpatient - Mercy San Diego - Bonus Eligible
The E.W. Scripps Company in San Diego, California -
Registered Nurse Case Manager (RN) ***Competitive Benefits*** - Job Code: 2352
Frontier Management in Arcadia, California💸 $50 - $60 per hour -
Case Manager Specialty RN
Kaiser Permanente in Tustin, California💸 $59.6 - $72.94 per hour -
On Site RN Case Manager - Community Transitional Center - San Diego, CA
UnitedHealth Group in San Diego, California💸 $28.03 - $54.95 per hour -
CLINICAL CASE MANAGER
UHS in Rosemead, California -
Registered Nurse Case Manager (RN) - Job Code: 2350
Frontier Management in Arcadia, California💸 $50 - $60 per hour -
CASE MANAGER (LPN/LVN)- Full Time
UHS in Riverside, California -
RN Case Manager
Delta-T Group Inc in Calexico, California -
Group Director Case Management
Gables Search Group in Modesto, California -
Inpatient Review (RN) Case Manager : NIGHT SHIFT California Pacific Hours
Molina Healthcare in Long Beach, California💸 $23.76 - $51.49 per hour -
Case Manager - Emergency Department - Mercy San Diego - Bonus Eligible
The E.W. Scripps Company in San Diego, California -
Case Manager - Inpatient - Scripps Green - Casual/Per-Diem
The E.W. Scripps Company in San Diego, California -
RN Case Manager - Clinical Supervisor - South Orange County - Sign-on Bonus
Aveanna Healthcare in Laguna Hills, California💸 $75000 - $80000 per year -
Case Manager Utilization RN, 24/hr Day
Kaiser Permanente in Panorama City, California -
Allergan Aesthetics PH Case Manager
AbbVie in Pleasanton, California -
Case Manager Specialty RN
Kaiser Permanente in Los Angeles, California💸 $59.6 - $72.94 per hour -
RN Case Manager
Frontier Management in Sacramento, California -
Registered Nurse - Case Manager
Compunnel in Sunnyvale, California