Description

Under the direction of the RN Asst. Director for Utilization Review, Intensive Case Management, you will support and perform duties to provide discharge planning/ UM concurrent review of the complex cases admitted in Non Domestic Hospital. You will use the nursing process to identify and advocate for patient issues. Work collaboratively with the patient, Faculty Practice Group, community resources, other providers, managed care operations, the UCLA Health System, and health plans to implement, identify, coordinate, and monitor options and services to meet at-risk patients' healthcare needs.

You will aim to foster continuity of care and reduce unnecessary utilization of healthcare services by coordinating and providing health services to meet individuals' health needs. This is achieved by connecting key individuals involved in the care of the patient and decreasing fragmentation and duplication of care, the Nurse Case Manager/Clinical Advisor is able to enhance the quality and cost effectiveness of the care that is delivered across all settings and levels of care.

Salary range: $125,259 - $161,987/Annual