Top 7 Utilization review rn Jobs in Lompoc Ca

Care Coordinator RN
Marian Regional Medical Center —Santa Maria, CA
- $59.31 - $88.50 an hour
- PRN
- Acute care
- Nursing
- RN License
RN Case Manager
Lompoc Valley Medical Center —Lompoc, CA
- $52.73 - $72.70 an hour
- Day shift
- Nursing
- Skilled nursing facility
- LVN
RN Lead - L&D (Full-time, Night Shift)
Adventist Health —Santa Maria, CA
- Overtime
- Acute care
- CPR Certification
- Nursing

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Care Coordinator RN
Marian Regional Medical Center —Santa Maria, CA
Graduate of an accredited school of nursing (Bachelor's Degree in Nursing (BSN)) or related healthcare field. Facilitates the development of a multidisciplinary…
$59.31 - $88.50 an hour
RN Case Manager
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Education: Current California license as Registered Nurse or Licensed Vocational Nurse. Case management certification is preferred.
$52.73 - $72.70 an hour

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Care Coordinator RN

Marian Regional Medical Center -
Santa Maria, CA

Apply Now

Job Details

PRN
$59.31 - $88.50 an hour

Qualifications

Collaborate with healthcare professionals
Utilization review
RN License
Customer service
CMS
Managing patients as a nurse case manager
CMS regulatory compliance
Utilization management
Resource utilization in healthcare
Multidisciplinary team collaboration for treatment planning
Risk assessment
JCAHO
Task assignment

Full Job Description

Job Summary and Responsibilities

As our RN Care Coordinator, you will be a central figure in patient care, seamlessly navigating the healthcare journey to achieve optimal outcomes and an exceptional patient experience.

Every day, you will strategically assess, plan, and facilitate comprehensive care across the continuum, expertly advocating for patients while collaborating with physicians, nursing, departments, insurers, and post-acute providers to ensure timely, high-quality transitions.

To be successful in this role, you will possess strong clinical acumen, exceptional communication and advocacy skills, and a strategic mindset, all driven by a passion for optimizing patient care across every touchpoint.

Completes and documents a discharge planning assessment on those patients identified by the designated screening process, or upon request. Reassess the patient as appropriate and update the plan accordingly.
Facilitates the development of a multidisciplinary discharge plan, engaging other relevant health team members, the patient and/or patient representative and post acute care providers in accordance with the patients clinical or psychosocial needs, choices and available resources.

Oversees and evaluates the implementation of the discharge plan.

Collaborates with the multidisciplinary team to ensure progression of care and appropriate utilization of inpatient resources using established evidence based guidelines/criteria.

Collaborates with the healthcare team and post-acute service providers to ensure timely and smooth transitions to the most appropriate type and setting of post-acute services based upon patients clinical needs.

Identifies risk for readmission and implements interventions to mitigate those risks for at least a 30-day period.

Job Requirements

Minimum

Graduate of an accredited school of nursing
Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of one (1) year experience.
California RN license
Basic Life Support - CPR (BLS-CPR) within 90 Days

Preferred

Graduate of an accredited school of nursing (Bachelor's Degree in Nursing (BSN)) or related healthcare field.
At least five (5) years of nursing experience.
Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred
Knowledge of managed care and payer environment preferred.
LA City Fire Card required within 90 days of hire.
Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used.
Able to apply clinical guidelines to ensure progression of care.
Must have critical thinking and problem-solving skills.
Collaborate effectively with multiple stakeholders
Professional communication skills.
Understand how utilization management and case management programs integrate.
Ability to work as a team player and assist other members of the team where needed.
Thrive in a fast paced, self-directed environment.
Knowledge of CMS standards and requirements.
Proficient in prioritizing work and delegating where indicated.
Highly organized with excellent time management skills.
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

Where You'll Work

Founded in 1940, Dignity Health - Marian Regional Medical Center is a 191-bed, acute care, nonprofit hospital located in Santa Maria, California. Serving over 250,000 patients annually, the hospital offers a full complement of services including Level II Trauma Center, Level III NICU, cancer care, orthopedics, and stroke care. Additionally, Marian Regional Medical Center has been recognized as an LGBTQ+ Healthcare Equality High Performer by the Human Rights Campaign Foundation. It is a Joint Commission-certified Primary Stroke Center, and the only healthcare facility on the Central Coast to offer ECMO.

One Community. One Mission. One California

Pay Range
$59.31 - $88.50 /hour

Apply Now

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utilization review rn jobs in lompoc ca

Care Coordinator RN

RN Case Manager

RN Lead - L&D (Full-time, Night Shift)

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