Case Manager - Utilization Management
Case Manager - Utilization Management
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Job Description
Overview
Join an awardwinning team of dedicated professionals committed to our core values of quality compassion and community! West Anaheim Medical Center a member of Prime Healthcare offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
Founded in 1964 West Anaheim Medical Center is a 219bed acutecare hospital dedicated to providing the community with highquality compassionate healthcare. Key services include general medical and surgical inpatient care and treatment emergency services surgical services behavioral health comprehensive heart center and diagnostic imaging. For more information visit.
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race color sex sexual orientation gender identity religion national origin age (subject to applicable law) disability military status genetic information or any other basis protected by applicable federal state or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: Notice for California Applicants: for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity intensity of service and severity of illness.
Qualifications
EDUCATION EXPERIENCE TRAINING
Required qualifications:
- BSW or other Bachelor degree in a related field or at least one year experience in case management discharge planning or nursing management;
- CCM or obtained within 6 months of hire.
- Experience and knowledge in basic to intermediate computer skills.
Preferred qualifications:
- Minimum 5 years of acute care experience preferred.
- At least oneyear experience in case management discharge planning or management preferred.
- Current BCLS certificate preferred.
- Knowledge of Milliman Criteria and InterQual Criteria preferred.
West Anaheim Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes but is not limited to paid time off a 401K retirement plan medical dental and vision coverage tuition reimbursement and many more voluntary benefit options. A reasonable compensation estimate for this role which includes estimated wages benefits and other forms of compensation is $30.28 to $43.32. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire in which a wide range of factors will be considered including but not limited to skillset years of applicable experience education credentials and licensure.
Required Experience:
Manager
Employment Type
Full-Time
