Registered Nurse - Utilization Management - Per Diem Days

Job DescriptionJob Summary:  Key Job ResponsibilitiesThe Utilization Review Case Manager validates the patient's placement to be at the most appropriate level of care based on nationally accepted admission criteria. The UR Case Manager uses medical necessity screening tools, such as InterQual or MCG criteria, to complete initial and continued stay reviews in determining appropriate level of patient care, appropriateness of tests/procedures and an estimation of the patient's expected length of stay. The UR Case Manager secures authorization for the patient's clinical services through timely collaboration and communication with payers as required. The UR Case Manager follows the UR process as defined in the Utilization Review Plan in accordance with the CMS Conditions of Participation for Utilization Review.                                                                                                                    QualificationsEducational Requirements:Assoc. Degree/College Diploma   Graduate of an accredited nursing program Bachelor's Degree   NursingLicenses:RN State LicenseBasic Life Support (BLS)Experience:3 years   In acute nursing2 years   Case Management1 year   CPT coding Physical Demands: Lifting 50 lbs. Carrying 50 lbs. Pushing  50 lbs. Pulling 50 lbs. Reaching, Handling, Grasping, Feeling, Talking,  Hearing, Repetitive Motions, Eye/Hand/Foot CoordinationReq ID : 1074Working Title : Registered Nurse - Utilization Management - Per Diem DaysDepartment : Utilization ManagementBusiness Entity : Cedars-Sinai Medical CenterJob Category : Patient ServicesJob Specialty : Case ManagementOvertime Status : NONEXEMPTPrimary Shift : DayShift Duration : 8 hourBase Pay : $67.50 - $70.00