**Case Manager-Utilization Management

Prime Healthcare • Sherman Oaks, CA • 1h ago

Overview

Encino Hospital Medical Center is a 150-bed state-of-the-art hospital located in Encino, California. Its multi-disciplinary staff consists of 330 physicians and 520 professional support staff. Encino Hospital Medical Center serves a diverse population and incorporates elements of urban and suburban medicine in a caring environment. It offers a wide array of inpatient and outpatient services. The hospital is consistently at the forefront in providing innovative and integrated healthcare. For more information, visit: www.encinomed.org

Join an award-winning team of dedicated professionals committed to our core values of quality , compassion and community!

Why Prime Healthcare? (https://encinomed.org/careers/why-prime-healthcare/) Encino Hospital Medical Center , a member of the Prime Healthcare Foundation, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Encino Hospital 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

401K retirement plan

Outstanding Medical

Dental

Vision Coverage

Tuition Reimbursement

Many more Voluntary Benefit Options! (https://www.primehealthcare.com/careers/benefits/)

Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time.

This is a Fast-paced work environment in which you can take pride in serving an underserved community. Come Join a Team of Dedicated Healthcare Workers!!!

Responsibilities

Responsible 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's degree in a related field. At least one year experience in case management, discharge planning or nursing management; or

Experience and knowledge in basic to intermediate computer skills.

Preferred qualifications:

Minimum 5 years of acute care experience preferred.

CCM or obtained within 1year

Current BCLS certificate preferred.

Knowledge of Milliman Criteria and InterQual Criteria preferred.

Pay Transparency

Sherman Oaks Hospital 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 $40.41 to $69.32. 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.

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

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: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\KnowYourRights\screen\reader\10_20.pdf

Privacy Notice

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

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FacilitySherman Oaks Hospital

LocationUS-CA-Sherman Oaks

ID2026-263786

CategoryClinical Professional

Position TypeFull Time

ShiftDays

Job TypeNon-Exempt

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