Jobs
>
Northridge

    Utilization Mgmt Coordinator Psychiatry Acute Adult - Northridge, United States - Dignity Health

    Dignity Health
    Dignity Health Northridge, United States

    2 weeks ago

    Default job background
    Description

    OverviewFounded 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 nation's 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 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\#
    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.
    Pay Range$ $72.61 /hourWe are an equal opportunity/affirmative action employer.



  • Common Spirit Northridge, CA, United States

    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 cardiovascula ...


  • Dignity Health Northridge, CA, United States

    **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 cardiovas ...


  • Common Spirit Northridge, United States

    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 cardiovascula ...


  • CommonSpirit Health Northridge, United States

    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 cardiovascul ...


  • Grampians Health Los Angeles, United States

    Psychiatric Enrolled Nurse – Level 1 or Level 2 · Adult Acute Unit · Full time or Part time positions available · Up to $20,000 incentive payments may be available to support relocation · (Be reimbursed for rent, childcare, school fees, relocation costs and more) · The Victorian ...

  • Mission Community Hospital

    Mental Health Worker

    2 weeks ago


    Mission Community Hospital Panorama City, United States

    The MHW assists the licensed nurses in providing patient care in the mental healthcare setting. He/she communicates with the Administrator, Manager, Charge RN and co-workers as appropriate about changes in patient's clinical condition including vital signs, behavioral and physica ...

  • Mission Community Hospital

    Mental Health Worker

    3 weeks ago


    Mission Community Hospital Panorama City, United States

    The MHW assists the licensed nurses in providing patient care in the mental healthcare setting. He/she communicates with the Administrator, Manager, Charge RN and co-workers as appropriate about changes in patient's clinical condition including vital signs, behavioral and physica ...

  • Valley Presbyterian

    Clinical Educator

    2 weeks ago


    Valley Presbyterian Van Nuys, United States

    Employment Status: · **Full Time Hours Per Pay Period)** · - Job Category: · **Nursing** · - Salary Range (DOE): · **$ $73.26 per hour** · **JOB SUMMARY**: · The **Clinical Educator**is accountable for assessing and managing nursing and support staff's competencies by continually ...

  • Valley Presbyterian

    Pharmacy Technician

    3 weeks ago


    Valley Presbyterian Van Nuys, United States

    Employment Status: · **Full Time Hours Per Pay Period)** · - Job Category: · **Allied Health/Clinical** · - Salary Range (DOE): · **$ $36.29 per hour** · **JOB SUMMARY**: · - The major job responsibilities of this position are: sterile and non-sterile compounding, new order dose ...

  • Partners in Care Foundation In

    Social Worker

    3 weeks ago


    Partners in Care Foundation In San Fernando, United States

    Education: Bachelor's degree in social work, psychology, counseling, rehabilitation, gerontology, sociology or related field. · This position conducts in home visits in Los Angeles county. · Experience: Minimum of one year required in healthcare and/or community-based services. A ...


  • Partners in Care Foundation In San Fernando, United States

    **Requires in-person client home visit in Los Angeles**. · Education: Associates or Bachelors of Science degree in nursing required. · Experience: One year of experience required working in an acute care hospital providing care management, working with seriously ill, frail, disab ...

  • Valley Presbyterian

    Pharmacy Technician

    4 days ago


    Valley Presbyterian Van Nuys, United States

    Employment Status: · **Full Time Hours Per Pay Period)** · - Job Category: · **Allied Health/Clinical** · - Salary Range (DOE): · **$ $36.29 per hour** · **JOB SUMMARY**: · - The major job responsibilities of this position are: batch preparation, new order dose preparation, stock ...


  • Sherman Oaks Hospital Sherman Oaks, United States

    Overview: · At Sherman Oaks Hospital, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of the Prime Healthcare Foundation, Sherman Oaks Hospital is actively seeking new members to join its award-winning team · ...


  • Easterseals Southern California San Fernando, United States

    Overview: · The Behavior Consultant will be the specialist providing clinical services to individuals with developmental disabilities, complex needs, and comorbidity using a consultative model in supporting them in residential and other settings. The Behavior Consultant will be u ...


  • Dr. MobiCare Beverly Hills, United States

    **Job Summary** · Interested in joining our growing medical team? If you're passionate about helping people and eager to optimize outcomes, we want to talk to you Seeking licensed Nurse Practitioner to join our team You will work in multiple settings such as clinic, skilled nursi ...

  • CEDARS-SINAI

    Mental Health Worker

    2 weeks ago


    CEDARS-SINAI Beverly Hills, United States

    Job Summary: · Under general supervision of a licensed care giver, The Mental Health Worker (MHW) delivers patient care and performs basic procedures for an assigned group of patients. Assists patients with activities such as eating, walking, and personal hygiene. Records and rep ...

  • UCLA Health

    Nurse Practitioner

    2 weeks ago


    UCLA Health Santa Monica, United States

    **Description** · Join the Bariatric Surgery Service as an Adult Acute Care Nurse Practitioner · The NP functions in an interdependent role by implementing the appropriate Standardized Procedures (SPs). By using the SPs the NP is able to change treatment regimen after observing s ...

  • Interventional Pain Associates of MA

    Medical Receptionist

    3 weeks ago


    Interventional Pain Associates of MA Beverly, United States

    **About us** · Interventional Pain Associates is a small business in Beverly, MA. We are professional, agile and our goal is to maintain a warm and welcoming environment to treat adult patients in acute and chronic pain with injections and interventions to help minimize the use o ...

  • Mission Community Hospital

    Registered Nurse

    3 weeks ago


    Mission Community Hospital Los Angeles, United States

    Registered Nurse for BHU at Mission Community Hospital · Mission Community Hospital is currently hiring for a Registered Nurse The Registered Nurse (RN) provides direct patient care in the behavioral/mental healthcare setting. Exhibits · the ability to perform clinical/nursing fu ...


  • Providence Burbank, United States

    **Description** · **Maternal Childbirth Educator in the Labor and Delivery department at Providence St. Joseph Medical Center. This is a Per-Diem position and will work as classes are needed.** · Provides education and assistance to those enrolled in Babywise Educational Programs ...