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Registered Nurse - Utilization Review Case Manage - PEDS/Adults - 8 Hour Days

Los Angeles, California

Overview

Make a difference in Nursing at Cedars-Sinai. Use your compassion, expertise and dedication in work that truly matters – improving the lives of our patients in their most vulnerable times. As a Nurse at Cedars-Sinai you'll work alongside some of the most talented staff in the industry and be exposed to innovative research and technology. Nurses at Cedars-Sinai are expected to be among the best in the industry and are given support to do something incredible – for yourself and for others.

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Success Profile

What makes a successful RN at Cedars-Sinai? Check out the traits we’re looking for and see if you have the right mix.

  • Compassionate
  • Detail-oriented
  • Positive
  • Resilient
  • Communicator
  • Good Listener

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Career Path

We offer many career paths to support your immediate and future success.

  • New-Graduate Nurse (Registered Nurse I) leads to Licensed Practical Nurse.
  • Registered Nurse II leads to Registered Nurse
  • Registered Nurse III ends this path
  • Registered Nurse IV ends this path

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Responsibilities

Requisition # HRC1159656

Job Summary:

The Utilization Review Case Manager validates the patient's placement to be at the most appropriate level of care based on nationally accepted admission criteria. The UR Case Manager uses medical necessity screening tools, such as InterQual or MCG criteria, to complete initial and continued stay reviews in determining appropriate level of patient care, appropriateness of tests/procedures and an estimation of the patient's expected length of stay. The UR Case Manager secures authorization for the patient's clinical services through timely collaboration and communication with payers as required. The UR Case Manager follows the UR process as defined in the Utilization Review Plan in accordance with the CMS Conditions of Participation for Utilization Review.


Educational Requirements:

Assoc. Degree/College Diploma - Graduate of an accredited nursing program  (required)     
Bachelor's Degree Nursing (preferred)

Licenses:

RN State License (required)
Basic Life Support (BLS) (preferred)

Experience:

3 years In acute nursing (Required) 
2 years Case Management (Preferred)

Physical Demands:

lifting, standing, walking, sitting, typing, reaching, repetitive motions


Working Title: Registered Nurse - Utilization Review Case Manage - PEDS/Adults - 8 Hour Days
Department: Utilization Management
Business Entity: Corporate Services
Job Category: Patient Services
Job Specialty: Case Management
Position Type: Full-time
Shift Length: 8 hour shift
Shift Type: Day

Base Pay: $50.98 - $81.57

Our compensation philosophy

We offer competitive total compensation that includes pay, benefits, and other recognition programs for our employees. The base pay range shown above takes into account the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This base pay range does not include our comprehensive benefits package and any incentive payments that may be applicable to this role

Diversity and Inclusion at Cedars-Sinai

We are caretakers and innovators committed to the pursuit of equitable healthcare. But health equity is not possible without representation. Our commitment to diversity goes beyond demographics or checking boxes. Our people must reflect the diverse identities, experiences and geographies of the communities and patients we serve – because that’s what our patients, colleagues and communities deserve. Quality Care and Research—For All, By All.

Cedars-Sinai is an Equal Employment Opportunity 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. If you need a reasonable accommodation for any part of the employment process, please contact us by email at Applicant_Accommodation@cshs.org and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.

Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.

At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu) and COVID-19. For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through April each year) as a condition of employment, and annually thereafter as a condition of continued employment, subject to medical exemption or religious accommodation. For the same reason, you may also be required to receive other vaccines such as COVID-19 as a condition of employment. Cedars-Sinai reserves the right to make modifications to its required list of vaccines as required by law and/or policy.

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  • Sign on Bonus

    $3,000 Nurse Referral Bonus

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