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Managed Care Lead Case Management

Torrance Memorial Medical CenterTorrance, California

$59 - $92 / hour

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Overview

Schedule
Full-time
Education
Nursing (RN, LPN)
Career level
Director
Remote
On-site
Compensation
$59-$92/hour
Benefits
Career Development
Tuition/Education Assistance

Job Description

Description

The Lead Case Manager is responsible for assisting with the daily oversight of the hospital census to ensure effective and timely transitions of care. The Lead assists with the oversight of regulatory compliance processes and staff compliance with policies and procedures.
The Lead develops collegial relationships with the interdisciplinary team leads. The Lead educates case managers regarding health plans and regulatory changes related to transitions of care. This position provides feedback to staff to support well-coordinated care amongst the interdisciplinary team and post-acute providers. The lead monitors the length of stay to assist the team in securing authorization for the patient’s post-acute care through collaboration and communication with the health plan case managers and discharge planners. This position adheres to the CMS condition of Participation for Discharge Planning and other regulatory requirements

Core Competencies

  • Participates in Peer Review, Professional Development activities and acts as preceptor..
  • Provides patient and family education throughout the care of patient.
  • Participates in activities in alignment with the Magnet Model.
  • Complies with organizational quality dashboard benchmarking goals.
  • Makes daily work assignments for each Case Manager.
  • Attends Revenue cycle meeting monthly.
  • Utilizes experience, in-depth knowledge to effectively modify and document changes in nursing care and/or the plan of care to address patient care problems and keep the primary care provider updated on any changes.  Assesses health needs of patients using specialized knowledge skills and anticipates the outcome of interventions. 
  • Collaborates with the Utilization Review Nurse to expedite discharges and screen admission requests.
  • Performs chart review and quality assessments as directed.
  • Identifies inappropriate bed utilization and quality of care problems and refers them to Utilization Management physician advisor.

Education

DegreeProgram
BachelorsNursing

Experience

Number of Years ExperienceType of Experience
5Case Management
Additional Information
Five years clinical experience in an acute care facility.

License / Certification Requirements

Registered Nurse License
BLS or ACLS Certification

Compensation Range: 

$58.54 - 91.82 / Hour 

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FAQs About Managed Care Lead Case Management Jobs at Torrance Memorial Medical Center

What is the work location for this position at Torrance Memorial Medical Center?
This job at Torrance Memorial Medical Center is located in Torrance, California, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Torrance Memorial Medical Center?
Candidates can expect a pay range of $58.54–$91.82 per hour for this role.
What employment applies to this position at Torrance Memorial Medical Center?
Torrance Memorial Medical Center lists this role as a Full-time position.
What experience level is required for this role at Torrance Memorial Medical Center?
Torrance Memorial Medical Center is looking for a candidate with "Director" experience level.
What education level is required for this job?
The education requirement for this position is Nursing (RN, LPN). Candidates with relevant qualifications or equivalent experience may also be considered.
What benefits are offered by Torrance Memorial Medical Center for this role?
Torrance Memorial Medical Center offers following benefits: Career Development and Tuition/Education Assistance for this position. Actual benefits may vary depending on the employer's policies and employment terms.
What is the process to apply for this position at Torrance Memorial Medical Center?
You can apply for this role at Torrance Memorial Medical Center either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.