Utilization Review / Discharge Planning at Plumas District Hospital

Quincy, California, United States -

Full Time

Start Date

Immediate

Expiry Date

17 Apr, 26

Salary

84.09

Posted On

17 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Case Management, Utilization Management, Discharge Planning, Collaboration, Communication, Interpersonal Skills, Organizational Skills, Time Management, Medical Terminology, Patient Care, Emotional Intelligence, Insurance Regulations, Medicare Regulations, Medicaid Regulations, Assessment, Family Meetings

Industry

Hospitals and Health Care

Description

Nature and Scope This multifaceted role will focus on discharge planning, utilization review, and swing bed coordination within our healthcare facility. The Case Manager will play a pivotal role in ensuring the smooth transition of patients from the acute care setting to appropriate post-acute care options, while also managing utilization and assisting swing bed services. Location We are located at 1065 Bucks Lake Road Quincy, CA 95971 Compensation Hourly Rate: $58.98 – $84.09 (based on clinical pay scale) Job Status / Shift Information Full-time, benefited Requried to be put on administration on call schedule Qualifications Experience: A Minimum of three (3) years' experience in case management and utilization management. Education: Bachelor's degree in a healthcare-related field (such as Nursing, or Healthcare Administration). Current healthcare licensure or relevant certification (e.g., RN or related lic.). Knowledge, Skills, and Abilities: Knowledge of insurance and Medicare/Medicaid regulations. Excellent communication and interpersonal skills. Strong organizational and time-management abilities. Ability to work collaboratively in a multidisciplinary healthcare team. Understanding of medical terminology and patient care. Excellent skills in crucial conversations, and emotional intelligence. Responsibilities Conduct comprehensive assessments of patients' medical, social, and financial needs to develop effective discharge plans. Collaborate with physicians, nurses, social workers, and other healthcare professionals to ensure that patients receive the most suitable and seamless post-acute care. Coordinate and facilitate family meetings to educate and involve patients and their families in the discharge planning process. Monitor and update discharge plans to address evolving patient needs and conditions. Review and assess the medical necessity and appropriateness of care provided to patients. Benefits / Perks Pay & Recognition Balanced Life Well-Being Professional Growth Dependent Care Child Care At PDH, we believe investing in our team matters. Our benefits and perks include medical, vision, dental, 401k, retirement, paid time off, discounted memberships with Flight/American Medical Care Network, housing stipend or paid housing for first 3 months of employment, shift differentials, and more! PDH Benefits to review more details on current options available Why Plumas District Hospital Work in a supportive, community-focused clinic environment surrounded by the beauty of the Sierra Nevada. Make a lasting impact on patient care while enjoying competitive pay and meaningful benefits. Contact Information Recruiter Name/Email: Nicholas Clawson Department Phone: 530-283-7169

Responsibilities

The Case Manager will conduct comprehensive assessments of patients' needs to develop effective discharge plans and collaborate with healthcare professionals to ensure suitable post-acute care. They will also monitor and update discharge plans as patient needs evolve.