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Position Title: Utilization Case Manager                                                                    

Location: Los Angeles

Hours/Shift: Full Time, Days, Exempt

 

Job Summary: The Case Manager assesses, plans, implements and evaluates the needs of patients for discharge planning and utilization review.  Coordinates discharge planning with physicians, Nursing, Social Services, patient and significant others who have an ongoing relationship with the patient. Reviews patient procedures and DRG status against criteria for Medicare, Medicaid and other insurance coverage.

Qualifications:

  • BSN; MSN preferred. 
  • Current Registered Nurse licensure in State of California.
  • Three years clinical experience working with medically complex patients.
  • Minimum 1-2 years case management preferred.
  • One year of experience in acute hospital UR or discharge planning
  • Basic computer knowledge.

 

 

Barlow Respiratory Hospital is an award-winning, nationally recognized hospital known for providing exceptional patient care. Our interdisciplinary Barlow team works together to provide highly specialized direct and indirect patient care. Our team integrates biopsychosocial concepts, cognitive skills, and technically competent practice to care for patients with chronic critical illnesses and complex respiratory conditions. Barlow Respiratory Hospital welcomes experienced dedicated professionals to join us to serve patients, their families and our community. Complete an Application for Employment now.

 

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