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Case Managers function as liaisons between patients, their families and internal and external health care personnel to ensure appropriate, efficient and timely health care service. Their focus includes providing clinical documentation to third party payers to facilitate authorization and reimbursement for inpatient hospital stays, coordinating discharge needs and providing information to the Quality department for their follow-up. The Case Manager advocates for the patient and family and collaborates with the health care team to facilitate appropriate movement along the continuum of care from inpatient admission to discharge.
Minimum Qualifications
Bachelor's Degree in Nursing
Current California RN license
Three years of experience
One year of pediatric experience
Competent in utilization of computers, various computer programs
Competent keyboarding skills
Preferred Qualifications
Four years of experience
Utilization review, case management, discharge planning experience
Bilingual English/Spanish
The current salary range for this position is $51.94 to $89.38
A candidate’s placement in the range will be determined based on the terms and conditions of the applicable collective bargaining agreement. Rady Children’s Hospital is committed to being externally competitive and internally equitable. We demonstrate this commitment by reviewing market data to remain competitive within the nonprofit, healthcare sector. This posting will remain open from the “date posted” until the hiring manager has determined there is a sufficient applicant pool or until the position is filled.
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Health Care Provider
Industries
Hospitals and Health Care
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