Utilization Review/Clinical Case Manager - Sharp Mesa Vista - Per Diem - Days

Company: Sharp HealthCare
Location: San Diego
Posted on: November 11, 2024

Job Description:

Hours:Shift Start Time:7 AMShift End Time:4 PMAWS Hours Requirement:8/40 - 8 Hour ShiftAdditional Shift Information:*Flex start time / Remote work is not availableWeekend Requirements:No WeekendsOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$57.064 - $73.632 - $90.199The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.What You Will DoPerform admission and concurrent review of patients, based upon needs regardless of payor sources. Identifies patients (as early as possible in the admission) requiring discharge planning. Determines admission necessity based upon severity of illness and intensity of service criteria. Ensures a multi-disciplinary approach in planning of care across the continuum. Summary: Through assessment and planning ensures that patients are placed in the appropriate setting and receiving the appropriate care in a timely manner.Required Qualifications

• Education pursuant to licensure requirement.
• Background and educational experience which will establish credibility with physicians and non-physician health care practitioners involved in Admission & Triage, Discharge planning, and case management of chemical dependency patients.
• AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED
• California Registered Nurse (RN) - CA Board of Registered Nursing OR California BBS Licensed Clinical Social Worker (LCSW) - CA Board of Behavioral Sciences OR California BBS Licensed Marriage and Family Therapist (LMFT) - CA Board of Behavioral Sciences -REQUIREDPreferred Qualifications
  • Behavioral Health experience - strongly preferred
  • Referral development experience.Knowledge, Skills, and Abilities
    • Ability to maintain strict confidentiality, knowledge of medical terminology, treatment plans, health care delivery systems, severity of illness and intensity of treatment criteria.Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class. AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; California BBS Licensed Clinical Social Worker (LCSW) - CA Board of Behavioral Sciences; California BBS Licensed Marriage and Family Therapist (LMFT) - CA Board of Behavioral Sciences; California Registered Nurse (RN) - CA Board of Registered Nursing
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Keywords: Sharp HealthCare, Buena Park , Utilization Review/Clinical Case Manager - Sharp Mesa Vista - Per Diem - Days, Executive , San Diego, California