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Utilization Review/Clinical Case Manager - Sharp Mesa Vista - Per Diem - Days

Job ID JR155895 Date posted 11/04/2024
San Diego, California
  • Mesa Vista Hospital
  • Day
  • Per Diem
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Responsibilities

Hours:

Shift Start Time:

7 AM

Shift End Time:

4 PM

AWS Hours Requirement:

8/40 - 8 Hour Shift

Additional Shift Information:

*Flex start time / Remote work is not available

Weekend Requirements:

No Weekends

On-Call Required:

No

Hourly Pay Range (Minimum - Midpoint - Maximum):

$57.064 - $73.632 - $90.199


The stated pay scale reflects the range that Sharp reasonably expects to pay for this position.  The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.



What You Will Do
Perform admission and concurrent review of patients, based upon needs regardless of payor sources. Identifies patients (as early as possible in the admission) requiring discharge planning. Determines admission necessity based upon severity of illness and intensity of service criteria. Ensures a multi-disciplinary approach in planning of care across the continuum. Summary: Through assessment and planning ensures that patients are placed in the appropriate setting and receiving the appropriate care in a timely manner.

Required Qualifications

  • Education pursuant to licensure requirement.
  • Background and educational experience which will establish credibility with physicians and non-physician health care practitioners involved in Admission & Triage, Discharge planning, and case management of chemical dependency patients.
  • AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED
  • California Registered Nurse (RN) - CA Board of Registered Nursing OR California BBS Licensed Clinical Social Worker (LCSW) - CA Board of Behavioral Sciences OR California BBS Licensed Marriage and Family Therapist (LMFT) - CA Board of Behavioral Sciences -REQUIRED


Preferred Qualifications

  • Behavioral Health experience - strongly preferred
  • Referral development experience.


Knowledge, Skills, and Abilities

  • Ability to maintain strict confidentiality, knowledge of medical terminology, treatment plans, health care delivery systems, severity of illness and intensity of treatment criteria.

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class.

AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; California BBS Licensed Clinical Social Worker (LCSW) - CA Board of Behavioral Sciences; California BBS Licensed Marriage and Family Therapist (LMFT) - CA Board of Behavioral Sciences; California Registered Nurse (RN) - CA Board of Registered Nursing
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  • Clin Effectiveness, San Diego, California, United StatesRemove

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"After nearly 10 years of working here, it's still one of the hardest jobs I've ever loved. If you find a niche here, you'll be working with some of the smartest in the industry. This is where they'll respect you for thinking outside the box and kindness matters. They expect consistency and hard work, but pay you well to do it."

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