Keck Medicine of USC
Case Manager - Care Coordination - Full Time 8 Hours Day (7:30AM to 4:00PM) (Uni
Keck Medicine of USC, Arcadia, California, United States, 91006
Case Manager - Care Coordination - Full Time 8 Hours Day (7:30AM to 4:00PM) (Union, Non-Exempt)
Join to apply for the
Case Manager - Care Coordination - Full Time 8 Hours Day (7:30AM to 4:00PM) (Union, Non-Exempt)
role at
Keck Medicine of USC . Responsibilities
Participate in clinical performance improvement activities. Apply InterQual criteria to monitor admissions and stays, documenting findings per standards. Assist in compiling physician profile data related to LOS, resource utilization, and quality indicators. Report financial indicators including case mix, LOS, and readmission rates. Collaborate with multidisciplinary teams in discharge planning, assessments, and care coordination. Facilitate communication among medical staff, nursing, and ancillary services to ensure efficient care delivery. Manage patient care plans, monitor progress, and adjust as needed to ensure high-quality, cost-effective care. Coordinate with external case managers and communicate with financial counselors for reimbursement processes. Complete utilization management and document discharge planning in the system. Identify at-risk populations and initiate referrals for home health or hospice care. Manage discharge planning, including patient/family meetings and transfer arrangements. Monitor length of stay and resource use, taking actions to improve efficiency. Perform UR reviews and resolve discharge delays proactively. Use data for performance improvement and quality assurance. Qualifications
Education : Associates degree in Nursing required; Bachelor's preferred. Experience : 3 years in utilization review and discharge planning preferred. Licenses & Certifications : Valid RN license in California, BLS certification; professional case manager certification preferred. Position Summary
This role supports physicians and the care team in managing patient care, optimizing outcomes, and ensuring efficient resource use through utilization management, care facilitation, and discharge planning. Details
Seniority level: Mid-Senior level Employment type: Full-time Industry: Hospitals and Health Care This job posting is active and open for applications.
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Join to apply for the
Case Manager - Care Coordination - Full Time 8 Hours Day (7:30AM to 4:00PM) (Union, Non-Exempt)
role at
Keck Medicine of USC . Responsibilities
Participate in clinical performance improvement activities. Apply InterQual criteria to monitor admissions and stays, documenting findings per standards. Assist in compiling physician profile data related to LOS, resource utilization, and quality indicators. Report financial indicators including case mix, LOS, and readmission rates. Collaborate with multidisciplinary teams in discharge planning, assessments, and care coordination. Facilitate communication among medical staff, nursing, and ancillary services to ensure efficient care delivery. Manage patient care plans, monitor progress, and adjust as needed to ensure high-quality, cost-effective care. Coordinate with external case managers and communicate with financial counselors for reimbursement processes. Complete utilization management and document discharge planning in the system. Identify at-risk populations and initiate referrals for home health or hospice care. Manage discharge planning, including patient/family meetings and transfer arrangements. Monitor length of stay and resource use, taking actions to improve efficiency. Perform UR reviews and resolve discharge delays proactively. Use data for performance improvement and quality assurance. Qualifications
Education : Associates degree in Nursing required; Bachelor's preferred. Experience : 3 years in utilization review and discharge planning preferred. Licenses & Certifications : Valid RN license in California, BLS certification; professional case manager certification preferred. Position Summary
This role supports physicians and the care team in managing patient care, optimizing outcomes, and ensuring efficient resource use through utilization management, care facilitation, and discharge planning. Details
Seniority level: Mid-Senior level Employment type: Full-time Industry: Hospitals and Health Care This job posting is active and open for applications.
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