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Utilization Review/Management Analyst

Job ID 84897 Date posted 12/15/2017
  • Facility: Sharp Grossmont Hospital
  • City: La Mesa
  • Department: Administration (Psych)
  • Category: Specialty Nurse Jobs
  • Job Status: Full-Time
  • Shift: Day Job
  • FTE: 1.0
  • Shift Start: 7 AM
  • Shift End Time: 3:30 PM
Employee Referral Bonus of $1,000 for eligible Sharp employees
 
Location
This position is located in La Mesa, CA (San Diego County)
 
Hours
8-hour day shift, 7:00 am - 3:30 pm; no weekends
 
Required Skills and Qualifications
  • Current unencumbered California RN license
  • 3 years of clinical experience
  • Excellent interpersonal skills, as demonstrated by the ability to work with individuals and/or teams, and across disciplines
  • Excellent communication and negotiation skills as demonstrated in oral and written forms
  • Ability to work in a collaborative partnership model with other members of the interdisciplinary team, both internal and external
  • Organizational and time management skills, as evidenced by the capacity to prioritize multiple tasks
 
Preferred Skills and Qualifications
  • Inpatient Behavioral Health/Psych RN experience
  • One year of experience in case management strongly preferred
  • Computer, data management and analysis skills
  • BSN or equivalent degree
  • Certified Case Manager (CCM)
 

Summary
The Utilization Resource Case Manager functions as the primary liaison between the sponsoring agent and all other related parties to ensure appropriate level of care through comprehensive concurrent review for medical necessity of inpatient stays and the utilization of ancillary services.
This Utilization Resource Case Manager position is part of the Administration – Psych department.  The Behavioral Health Unit at Sharp Grossmont Hospital comprised of the following three departments; The Older Adult Program (OAP), the Medical Psychiatric Program (MPP) and the Intensive Treatment Program (ITP). The Older Adult Program (OAP) provides inpatient, short-term comprehensive care for patients 55 years of age and older who are experiencing acute psychiatric disorders, cognitive impairment and age-related physiological difficulties. The Medical Psychiatric Program (MPP) is a 12 bed open unit that is part of the 46 bed Inpatient Psychiatric Unit. The MPP unit is designed for adults who have both medical and psychological diagnoses requiring 24 hour skilled nursing inpatient assistance. The Intensive Treatment Program (ITP) is a 14 bed locked 24-hour care unit designed for adults who are gravely disabled or so impaired in their psychological functioning as to constitute a danger to themselves or others.
The position is located in a 500+bed acute care facility that includes a 46 bed Inpatient Psychiatric Unit. This position is part of a psychiatric liaison team that reports to the Director of Behavioral Health. The position is responsible for the psychiatric evaluation and assessment of patients in the Emergency Department. Dispositions to the appropriate level of care are completed in consultation with a psychiatrist on call as well as the Emergency Department physician.
Sharp Grossmont Hospital is the largest not-for-profit, full-service acute care hospital in the region with 500+ beds. The hospital has outstanding programs in heart care, orthopedics, rehabilitation, robotic surgery, mental health, stroke care and women’s health. In addition, the hospital’s Emergency and Critical Care Center is one of the most technologically advanced emergency and intensive care facilities in the nation.
Sharp Grossmont Hospital is nationally recognized as a MAGNET®-designated hospital for patient care and nursing practices. This designation is the “gold standard” for patient care and nursing excellence and is the highest honor awarded by the American Nurses Credentialing Center.
Essential Physical Requirements of position may include:
  • Sitting
  • Keyboarding
  • Moving
  • Lift up to 10 pounds
  • Push/Pull up to 25 pounds
  • Carry up to 10 pounds
Additional physical requirements of position may be discussed during interview.
Sharp HealthCare is proud to be an Equal Opportunity/Affirmative Action Employer.  All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, gender identity, transgender status, sexual orientation, protected veteran status or any other protected class.
Keywords: 84897, Utilization Review/Management Analyst Job, Utilization Review Jobs, Utilization Management Jobs, Utilization Resource Case Manager, RN Case Management, Psychiatric Nursing Jobs, Psych RN jobs, , Behavioral Health, Nursing Jobs, Sharp Grossmont Hospital, La Mesa, San Diego

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