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RN Case Manager - Case Management (Inpatient) - Full time (8-hour day shifts) - Marina Hospital

Cedars-Sinai Medical Center
Marina del Rey, USA
Full-time
Manager
Onsite
Discovered 1 weeks ago

Full Job Posting

Benefits:

  • NEW 9 story Hospital scheduled for May 2027 – state of the art and double the size!
  • Clinical Ladder Program. Advancement and leadership opportunities!
  • Comprehensive benefits starting within 30 days of employment
  • Retirement Programs
  • Tuition Assistance Plans

Responsibilities:

  • Perform evaluations and assessments within the established timeframes
  • Detail appropriate reviews for assigned patients using our utilization review tool
  • Provide telephonic reviews for identified contracted/private patients and collaborate with on-site and/or outside reviewers
  • Keep patients informed of progress and provide information related to disease progression
  • Collaborate with discharge planners to make orders and arrange for home care equipment and healthcare needs
  • Work with third-party payers to validate orders
  • Educate patients and families on all aspects of hospitalization and continuing care
  • Assume responsibility for timely completion of required case management reports for regulatory bodies, health plans, and insurance carriers
  • Interact professionally with patients, families, and caregivers, involving them in the formation of the plan of care and discharge needs
  • Coordinate with the multidisciplinary team to ensure the identification of a safe and appropriate discharge plan for each assigned patient
  • Ensure documentation meets current standards and policies
  • Maintain department cleanliness and safety
  • ON-SITE POSITION

Qualifications

  • Education:
  • Associate's degree in Nursing (required).
  • Bachelor's degree in Nursing (preferred).
  • Certifications/Licenses:
  • Current and valid California RN License (required).
  • Certified Case Manager (CCM) or Accredited Case Manager (ACM) (preferred).
  • Two (2) years of nursing experience in an acute care setting (required).

Experience:

  • One (1) year of Case Management experience (preferred).
  • Experience with Utilization Review (strongly preferred).

Preferred Qualifications

  • Bachelor's degree in Nursing (preferred).
  • Certified Case Manager (CCM) or Accredited Case Manager (ACM) (preferred).
  • One (1) year of Case Management experience (preferred).
  • Experience with Utilization Review (strongly preferred).

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