Job Posting: You have the wisdom and stamina to steer crucial treatment decisions. As a Registered Nurse, Utilization Manager in Case Management at Cedars-Sinai you will serve as a clinical co-pilot—charting the best trajectory of each patient's care by accommodating various needs, including medical, psycho-social, financial and practical. So someone with your experience, resourcefulness, perspective, confidence and capacity to communicate with top physicians will have a major impact on the quality of your patients' progress. It is our shared culture of passion, compassion and sophistication that will make your work experience here so exhilarating. An individual with your curiosity and deep desire to broaden your scope of experience will grow and thrive in our Magnet-designated, teaching environment, having all the advantages of the most advanced thinking and state-of-the-art capabilities. The RN, UM Case Manager, validates the patient's placement to be the most appropriate level of care based on nationally accepted admission criteria. The UR Case Manager uses medical necessity screening tools, such as InterQual or MCG criteria, to complete initial and continued stay reviews in determining appropriate level of patient care, appropriateness of test/procedures and an estimation of the patients expected length of stay. Note: All External Hires must successfully pass a background check, a prohibited substance screening, and a pre-employment physical. #LI-Nursing
Qualification Requirements/Preferences: Education Certifications/Licensure Experience Physical Abilities Educational Requirements: BSN preferred. License/Certification/Registration Requirements: Current CA RN license, AHA BLS, Case Management Certification required within 2 years of hire. Experience: 5 years acute Case Management experience and 3 years acute nursing experience required. Very strong computer skills as employee will be entering information into hospital system majority of the day, typing 35-40wpm, excellent verbal, written communication skills required. Knowledge of medical literature, research methodology, health care delivery systems and financial reimbursement. Physical Demands: Able to walk, stand for long periods of time EEO / AA / F / M / Veteran / Disabled
Providing healthcare for more than 100 years, Cedars-Sinai has evolved into one of the most dynamic and highly renowned medical centers in the world. Along with caring for patients, Cedars-Sinai is a hub for biomedical research and a training center for future physicians and other healthcare professionals. This attracts exceptional talent to Cedars-Sinai, including world-renowned physician-scientists who seek a place where they can both conduct research and see patients--the ideal formula for discovery and its translation into cures. Our patients benefit from access to doctors at the top of their fields, and our researchers have an ideal community in which to study the impact of healthcare challenges, and reflect that knowledge in their research. The greater Los Angeles area in which Cedars-Sinai resides possesses unparalleled cultural and ethnic diversity which offers outstanding opportunities for translational and clinical research and a dynamic environment for medical education.Although community based, Cedars-Sinai is a major teaching hospital affiliated with the David Geffen School of Medicine at the University of California, Los Angeles (UCLA). Cedars-Sinai has highly comp...etitive graduate medical education programs in more than 50 specialty and subspecialty areas, a graduate program in biomedical sciences and translational medicine, a clinical scholars program directed towards junior physicians with aspirations to become clinical scientists, and post graduate training opportunities.There are more than 250 full-time faculty members at Cedars-Sinai. The voluntary medical staff, comprised of more than 2,200 specialty board-certified or board-qualified physicians, represent all of the specialties and subspecialties and collaborate with full-time medical staff in the teaching responsibilities of the graduate medical education programs.