Job Description
We are seeking an exceptionally skilled RN Case Manager to join our dedicated Case Management team. This position offers an outstanding opportunity to work in a dynamic inpatient setting where you will plan and coordinate patient care from pre-hospitalization through discharge. You will hold a meaningful role in ensuring flawless care and treatment, collaborating closely with all members of the health care team.
Responsibilities
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Perform evaluations and assessments within the established timeframes
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Detail appropriate reviews for assigned patients using our utilization review tool
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Provide telephonic reviews for identified contracted/private patients and collaborate with on-site and/or outside reviewers
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Keep patients informed of progress and provide information related to disease progression
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Collaborate with discharge planners to make orders and arrange for home care equipment and healthcare needs
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Work with third-party payers to validate orders
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Educate patients and families on all aspects of hospitalization and continuing care
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Assume responsibility for timely completion of required case management reports for regulatory bodies, health plans, and insurance carriers
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Interact professionally with patients, families, and caregivers, involving them in the formation of the plan of care and discharge needs
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Coordinate with the multidisciplinary team to ensure the identification of a safe and appropriate discharge plan for each assigned patient
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Ensure documentation meets current standards and policies
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Maintain department cleanliness and safety
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ONSITE POSITION
Qualifications
Education:
Certifications/Licenses:
Experience:
Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.