
Registered Nurse - Lead Care Coordinator - 8 Hour Days
Los Angeles, CAJobSeen 3 days agoSeen in employer's feed 3 days ago
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Job overview
The Lead Care Coordinator provides hands‑on expertise to team members, overseeing a manageable patient caseload, using medical necessity screening tools such as InterQual or MCG criteria to conduct stay reviews, estimate length of stay, and secure insurance authorizations while following department case‑management policies and CMS utilization‑review requirements.
Skills & qualifications
Skills
Qualifications
Full job description
Job Description
The Lead Care Coordinator will provide hands-on expertise to other team members as needed to help ensure that every patient receives the right type of care, at the right time in the right setting, every day. The Lead will oversee a manageable patient caseload and utilize medical necessity screening tools, such as InterQual or MCG criteria, to complete initial and continued stay reviews in determining appropriate level of patient care, estimation of the patient's expected length of stay and securing insurance authorization for services provided. The Lead follows the Case Management process per department policy and as defined in the Utilization Review Plan in accordance with the CMS Conditions of Participation for Utilization Review.
Qualifications
Education
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Bachelor's Degree Nursing - minimum
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Master's Degree Nursing - preferred
Experience
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3 years Acute Nursing experience - minimum
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2 years Case Management experience - minimum
Licenses and Certifications
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RN State License - Upon Hire minimum Issued by the State of California
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Basic Life Support (BLS) - Upon Hire minimum
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Certified Case Manager - 2 years preferred Experience and certification in case management preferred
Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.
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