Current jobs related to Utilization Mgmt Coordinator Psychiatry Acute Adult - Northridge - CommonSpirit Health

  • RN Utilization Management Coordinator

    2 months ago

    Northridge, United States Dignity Health Full time

    Overview Founded in 1955 Dignity Health - Northridge Hospital Medical Center is a 394-bed acute care nonprofit community hospital located in Northridge California. The hospital offers a full complement of award winning services including the Leavey Cancer Center a cardiovascular center stroke center the Center for Assault Treatment Services a pediatric...

  • RN Utilization Management Coordinator

    2 weeks ago

    Northridge, California, United States Dignity Health Full time

    About the RoleDignity Health is seeking a highly skilled RN Utilization Management Coordinator to join our team. As a key member of our healthcare team, you will play a vital role in ensuring that patients receive the highest quality care in a timely and cost-effective manner.Key ResponsibilitiesEvaluate Medical Necessity: Assess the medical necessity of...

  • RN Case Manager Care Coordinator

    2 days ago

    Northridge, United States Unavailable Full time

    Overview Founded in 1955, Dignity Health – Northridge Hospital Medical Center is a 394-bed, acute care, nonprofit community hospital located in Northridge, California.  The hospital offers a full complement of award winning services, including the Leavey Cancer Center, a cardiovascular center, stroke center, the Center for Assault Treatment Services, a...

  • RN Medical Surgical Acute 2

    4 days ago

    Northridge, United States CommonSpirit Health Full time

    Overview: Founded in 1955 Dignity Health Northridge Hospital Medical Center is a 394-bed acute care nonprofit community hospital located in Northridge California. The hospital offers a full complement of award winning services including the Leavey Cancer Center a cardiovascular center stroke center the Center for Assault Treatment Services a pediatric...

  • RN Case Manager Care Coordinator

    3 days ago

    Northridge, United States Unavailable Full time

    Overview Founded in 1955, Dignity Health – Northridge Hospital Medical Center is a 394-bed, acute care, nonprofit community hospital located in Northridge, California.  The hospital offers a full complement of award winning services, including the Leavey Cancer Center, a cardiovascular center, stroke center, the Center for Assault Treatment Services, a...

  • Inpatient Care Coordinator

    1 month ago

    Northridge, California, United States Regal Medical Group Full time

    Job Overview The Inpatient Care Coordinator plays a crucial role in evaluating, planning, and managing the care of patients during their hospital stay. This position involves collaborating with physicians and healthcare professionals to create a comprehensive care plan tailored to each patient's needs. The primary objective is to ensure that patients receive...

  • RN Orthopedics Acute

    2 months ago

    Northridge, United States Dignity Health Full time

    Overview Founded in 1955 Dignity Health – Northridge Hospital Medical Center is a 394-bed acute care nonprofit community hospital located in Northridge California. The hospital offers a full complement of award winning services including the Leavey Cancer Center a cardiovascular center stroke center the Center for Assault Treatment Services a pediatric...

  • RN Medical Surgical Acute 2

    1 day ago

    Northridge, California, United States CommonSpirit Health Full time

    Job SummaryWe are seeking a highly skilled and compassionate Registered Nurse (RN) to join our Medical Surgical Acute unit at Northridge Hospital Medical Center. As a Registered Nurse, you will be responsible for providing high-quality patient care, collaborating with the interdisciplinary team, and promoting a culture of safety and...

  • Clinical Utilization Specialist

    1 month ago

    Northridge, California, United States Regal Medical Group Full time

    Job OverviewPosition Summary:The Case Manager for Prior Authorization, licensed as a Vocational Nurse (LVN), plays a pivotal role in enhancing the quality and cost-effectiveness of healthcare services. This position involves the application of clinical expertise and adherence to established policies and guidelines when evaluating specialty referral requests...

  • RN Care Coordinator

    2 days ago

    Northridge, California, United States Dignity Health Full time

    Job Title: RN Care CoordinatorAt Dignity Health, we are seeking a highly skilled and compassionate RN Care Coordinator to join our team. As a RN Care Coordinator, you will play a vital role in ensuring the smooth transition of patients from hospital to home or other healthcare settings.Key Responsibilities:Conduct discharge planning assessments to identify...

  • Surgical Care Coordinator

    2 weeks ago

    Northridge, California, United States Dignity Health Full time

    Job Title: Registered Nurse (RN) - General Surgery UnitWe are seeking a skilled and compassionate Registered Nurse (RN) to join our General Surgery team at Northridge Hospital Medical Center. As a key member of our interdisciplinary healthcare team, you will provide high-quality patient care, coordinate and supervise nursing staff, and contribute to a...

  • RN Case Manager Care Coordinator

    1 day ago

    Northridge, California, United States Dignity Health Full time

    About the RoleWe are seeking a skilled RN Case Manager to join our team at Dignity Health - Northridge Hospital Medical Center. As a RN Case Manager, you will play a critical role in ensuring the seamless transition of patients from hospital to home or other post-acute care settings.ResponsibilitiesConduct discharge planning assessments and develop...

  • Hospice Service Coordinator

    4 weeks ago

    Northridge, California, United States ACT Medical Group Full time

    About the RoleWe are seeking a highly skilled and compassionate Hospice Service Coordinator to join our team at ACT Medical Group. As a key member of our care team, you will play a vital role in coordinating hospice services for managed care patients, ensuring seamless transitions and delivering exceptional patient care.Key ResponsibilitiesCoordinate Hospice...

  • Population Health Coordinator

    5 days ago

    Northridge, California, United States Regal Medical Group Full time

    Job Title: Population Health CoordinatorRegal Medical Group, a leading Independent Physician Association in Southern California, is seeking a highly skilled Population Health Coordinator to join our team. As a key member of our Population Health department, you will play a vital role in supporting the Director of Population Health in managing high-level...

  • Hospice Service Coordinator

    2 weeks ago

    Northridge, California, United States ACT Medical Group Full time

    {"Job Title": "Assistant Case Manager", "Job Description": "About the RoleWe are seeking a skilled and compassionate Assistant Case Manager to join our team at ACT Medical Group. As a key member of our hospice care team, you will play a vital role in coordinating services for managed care patients, ensuring seamless transitions, and promoting maximum...

  • Clinical Nurse Specialist RN NICU

    4 days ago

    Northridge, United States CommonSpirit Health Full time

    Overview: Founded in 1955 Dignity Health Northridge Hospital Medical Center is a 394-bed acute care nonprofit community hospital located in Northridge California. The hospital offers a full complement of award winning services including the Leavey Cancer Center a cardiovascular center stroke center the Center for Assault Treatment Services a pediatric...

  • Clinical Nurse Specialist RN NICU

    3 days ago

    Northridge, United States Unavailable Full time

    Overview Founded in 1955 Dignity Health – Northridge Hospital Medical Center is a 394-bed acute care nonprofit community hospital located in Northridge California. The hospital offers a full complement of award winning services including the Leavey Cancer Center a cardiovascular center stroke center the Center for Assault Treatment Services a pediatric...

  • Case Manager

    2 days ago

    Northridge, California, United States Regal Medical Group Full time

    Job SummaryThe Case Manager - SNF Transitional is responsible for ensuring the right level of care is provided to patients in a Skilled Nursing Facility (SNF) setting. This role involves assessment, treatment planning, intervention, monitoring, evaluation, and documentation for identified patients. The goal is to effectively manage patients' SNF stays,...

  • RN Case Manager

    1 week ago

    Northridge, California, United States Unavailable Full time

    About the RoleWe are seeking a highly skilled RN Case Manager to join our team at Dignity Health – Northridge Hospital Medical Center. As a RN Case Manager, you will play a critical role in overseeing the progression of care and discharge planning for identified patients requiring these services.Key ResponsibilitiesCompletes and documents a discharge...

  • Facilities Coordinator

    2 months ago

    Northridge, United States California State University Full time

    Facilities Coordinator (AS)Job no: 539733 Work type: Auxiliary Location: Northridge Categories: Excluded, At-Will, Custodial/Facilities, Full Time, On-site (work in-person at business location)SummaryUnder general supervision of the Risk & Facilities Manager, this position is responsible for the oversight of all Associated Students' ("AS") facilities &...

Utilization Mgmt Coordinator Psychiatry Acute Adult

4 months ago

Northridge, United States CommonSpirit Health Full time

Overview:

Founded in 1955 Dignity Health Northridge Hospital Medical Center is a 394-bed acute care nonprofit community hospital located in Northridge California. The hospital offers a full complement of award winning services including the Leavey Cancer Center a cardiovascular center stroke center the Center for Assault Treatment Services a pediatric medical center and the only pediatric trauma center in the San Fernando Valley. As a leading provider of compassionate high-quality and affordable patient-centered care we share a rich legacy with Dignity Health one of the nations five largest health care systems. We are part of a 21-state network of nearly 9000 physicians 62000 employees and more than 400 care centers. Visit dignityhealth.org/northridgehospital for more information.

The RN Utilization Management Coordinator (UMC) is responsible for assessing planning facilitating and advocating for options and services through a continuum of care from point of contact through discharge on assigned patients.The RN UMC performs this role in such a manner as to meet the individuals health needs while promoting quality and cost effective outcomes. The position emphasis will be on care coordination communication and collaboration with nursing physicians therapy services insurers and post acute service providers to pace the care toward optimal outcomes within the appropriate level of care. The RN UMC will provide oversite to the interdisciplinary team to ensure a smooth plan of care. The UMC participates in development and promotion of service line represents Behavioral Health Care services and participates in interdepartmental meetings and work teams. The UMC will advocate for the patient and family by identifying and valuing patient choice spiritual needs cultural language and socioeconomic barriers to care transitions. In addition the UMC will protect confidentiality while striving to achieve high levels of patient satisfaction.

#LI-DH

#RN@DH

Responsibilities:
  • The UMC evaluates the medical necessity of a patients utilization of healthcare services with designated screening criteria upon point of admission and throughout the provision of care in accordance with and in compliance of the Behavioral Health Dignity Health Utilization Review Policy.
  • The UMC will participate on the Behavioral Health appeal process if necessary
  • The UMC facilitates the development of a multidisciplinary plan of care, engaging other relevant health team members, the patient or patient representative and post acute care providers in accordance with the patients clinical or psychosocial needs, choices and available resources. The UMC coordinates patients appropriate care transition and discharge process when not performing UM role
  • The UMC participates regularly in Medical Center's departamental, hospital team meetings and performance improvement and when necessary will participate in data collection and reporting.
  • This position requires the full understanding and active participation in fulfilling the Mission of the Organization. It is expected the UMC will demonstrate behavior consistent with the Core Values of the organization.
  • The UMC is accountable for staying current with and seeking knowledge of hospital policies, standards of practice and Federal or State regulations pertaining to their practice .
  • In addition, this position considers the population served by the medical center and area clinical integration programs and leads efforts to optimize care coordination across the care continuum. This coordination ensures a plan of care for patients in all stages of health needs.
  • Excellent customer service and presentation skills are a must. Strong interpersonal and written communication skills are essential. Demonstrated ability to apply analytical and problem solving skills. Demonstrated ability to manage multiple tasks or projects effectively. Ability to work independently as needed with a high degree of detail orientation. Ability to work efficiently in a fast-paced environment with changing priorities.
Qualifications:
  • Minimum of 3 years nursing experience in an acute hospital setting required.
  • Current CA Registered Nurse (RN) license
  • Prior Utilization Management experience in a clinical or insurance setting required.
  • Previous Psychiatric nursing experience preferred.
  • Excellent customer service and presentation skills are a must.
  • Strong interpersonal and written communication skills are essential.
  • Demonstrated ability to apply analytical and problem solving skills.
  • Demonstrated ability to manage multiple tasks or projects effectively.
  • Ability to work independently as needed with a high degree of detail orientation.
  • Ability to work efficiently in a fast-paced environment with changing priorities.
  • Case Management certification preferred.
  • LA City Fire Care required within 90 days of hire.