Utilization review rn case manager, part-time | Huntington Beach, CA

Detailed Information

  • Location: Fountain Valley, CA

ensuring that care is provided at the appropriate level of care based on medical necessity and to backss the patient for transition needs to promote timely throughput, safe discharge, and prevent avoidable readmissions. This position integrates national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention; Transition Management promoting appropriate length of stay, readmission prevention, and patient satisfaction; Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care; Compliance with state and federal regulatory requirements, TJC accreditation

standards, and Tenet policy; Education provided to physicians, patients, families and caregivers.

230503xyz XEmployment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, interaction (including pregnancy), national origin, age, disability, genetic information, interactionual orientation, gender identity or expression, veteran status or any other legally protected status.

Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. For more details: jobs-search. org/sciences_fountain-valley-c426307/utilization-review-rn-case-manager-part-time-fountain-valley_i1961775870

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