RN, Care Manager (Utilization Review), Remote, Per Diem

Glendale Adventist Medical Center

Bakersfield California

United States

Healthcare - Nursing
(No Timezone Provided)

Essential Functions:

  • Leads the coordination of patient care with other disciplines within the care team, monitoring the appropriateness and timeliness of care.
  • Ensures the interdisciplinary care plan is consistent with the patient's clinical course, continuing care needs and covered services by monitoring diagnostic testing, treatments and procedures, and other aspects of patient care as appropriate for acute care.
  • Discusses with physicians, the appropriateness of resource utilization, consultations, treatment plan, estimated length of stay, and discharge plan. Focuses on complex patients, frequent emergency department utilizers, chronic pain patients, and substance abuse.
  • Coordinates the transfer of patients to tertiary centers, including the transfer of patient information required for continuity of ongoing treatment and services.
  • Provides oversight and collects data required for regulatory and accreditation compliance. Manages frequent emergency department visitors by conducting a focus study review of the previous and current admissions.
  • Performs other job-related duties as assigned.

    • You'll be successful with the following qualifications:

    Education:

  • Bachelor's Degree (BSN): Preferred

    • Work Experience:

  • Experience in a care management role: Preferred

    • Required Licenses/Certifications:

  • Case management certification: Preferred
  • Registered Nurse (RN) licensure in state of practice: Required

    • Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.

    RN, Care Manager (Utilization Review), Remote, Per Diem

    Glendale Adventist Medical Center

    Bakersfield California

    United States

    Healthcare - Nursing

    (No Timezone Provided)

    Essential Functions:

  • Leads the coordination of patient care with other disciplines within the care team, monitoring the appropriateness and timeliness of care.
  • Ensures the interdisciplinary care plan is consistent with the patient's clinical course, continuing care needs and covered services by monitoring diagnostic testing, treatments and procedures, and other aspects of patient care as appropriate for acute care.
  • Discusses with physicians, the appropriateness of resource utilization, consultations, treatment plan, estimated length of stay, and discharge plan. Focuses on complex patients, frequent emergency department utilizers, chronic pain patients, and substance abuse.
  • Coordinates the transfer of patients to tertiary centers, including the transfer of patient information required for continuity of ongoing treatment and services.
  • Provides oversight and collects data required for regulatory and accreditation compliance. Manages frequent emergency department visitors by conducting a focus study review of the previous and current admissions.
  • Performs other job-related duties as assigned.

    • You'll be successful with the following qualifications:

    Education:

  • Bachelor's Degree (BSN): Preferred

    • Work Experience:

  • Experience in a care management role: Preferred

    • Required Licenses/Certifications:

  • Case management certification: Preferred
  • Registered Nurse (RN) licensure in state of practice: Required

    • Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.

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