Inpatient Care Manager
2 weeks ago
Title: LVN, Care Manager
Location: Fountain Valley
Department: Inpatient/ Specialty Services
Status: Full time
Shift: Day
Pay Range*: $34.79/hour - $50.42/hour
At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Healthcare.Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability.Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork.
Position Summary
Under minimal supervision and in a professional and friendly manner, perform assigned job duties to the highest level of customer service and assistance to both internal and external customers of Memorial Care Medical Foundations Inpatient/Specialty Services unit.
Essential Functions and Responsibilities of the Job
1. On-site, telephonic or faxed clinical reviews (admission and concurrent) for MCMF patients in identified settings.
2. Document appropriately and per regulatory requirements within aligned CM system.
3. Provide discharge planning per assignment and in accordance with Health Plan and DOFR.
4. Support after hours duties for inpatient workflow if assigned
5. Be at work and be on time.
6. Follow company policies, procedures and directives.
7. Interact in a positive and constructive manner.
8. Prioritize and multitask.
*Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more... Check out our MemorialCare Benefits for more information about our Benefits and Rewards.
Qualifications
Minimum Requirements
Experience
- Work experience in Microsoft Word, Microsoft Excel and Microsoft Outlook.
- Work experience applying evidence-based criteria (i.e.: MCG, lnterqual); Health plan medical policy / clinical coverage guidelines.
- Previous inpatient Case Management experience.
- Previous and/or ability to learn use of electronic medical record, UM/CM platforms or electronic health record.
- Knowledge of CMS (Centers for Medicare and Medicaid Services) coverage and criteria.
- Associate's degree (AA) in nursing or equivalent from a two-year college or technical school.
- Current California LVN/LPN.
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