JOB SUMMARY : Case Managers function as liaisons between patients, their families, and internal and external health care personnel to ensure appropriate, efficient, and timely health care service.
Their focus includes providing clinical documentation to third party payers to facilitate authorization and reimbursement for inpatient hospital stays, coordinating discharge needs, and providing information to the Quality department for follow-up.
The Case Manager advocates for the patient and family and collaborates with the health care team to facilitate appropriate movement along the continuum of care from inpatient admission to discharge.
MINIMUM QUALIFICATIONS : Bachelor's Degree in Nursing3 years of experienceCurrent California RN licenseOne year of pediatric experienceCompetent in utilization of computersPREFERRED QUALIFICATIONS : Four years of experienceUtilization review, case management, discharge planning experienceBilingual English / SpanishThe current salary range for this position is $59.
73 to $97.42A candidate’s placement in the range will be determined based on the terms and conditions of the applicable collective bargaining agreement.
Rady Children’s Hospital is committed to being externally competitive and internally equitable. We demonstrate this commitment by reviewing market data to remain competitive within the nonprofit, healthcare sector.
This posting will remain open from the date posted until the hiring manager has determined there is a sufficient applicant pool or until the position is filled.
EOE including disability / vet
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