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Shift Start Time:
Shift End Time:
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Weekend Requirements:
As NeededOn-Call Required:
NoHourly Pay Range (Minimum - Midpoint - Maximum):
$65.250 - $75.720 - $86.180The stated pay scale reflects the range as defined by the collective bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network, United Nurses Associations of California/Union of Health Care Professionals, NUHHCE, AFSME, AFL-CIO. Placement within the range is based on years of RN experience.
What You Will Do
As a member of the System Integrated Care Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized Patient Placement Center (CPPC) RN's to review external and internal transfer requests and direct admission requests. This position supports utilization review functions to ensure appropriate patient status and assists with repatriation and post-stabilization reviews for patients before the patient is bedded, during the episode of care and supports other members of the System Centralized Utilization Management team to ensure final status reconciliation. This position ensures timely and proactive interaction with the CPPC team, admitting/attending physician, payer, physician advisor and other members of the interdisciplinary care team as appropriate. This position coordinates activities with Revenue Cycle while ensuring compliance with all local, state and federal regulations governing utilization review activities and/or care management. Expected outcomes include meeting or exceeding planned divisional and organizational goals while enhancing patient satisfaction through support of appropriate billings. This position requires superior critical thinking, demonstrated exceptional knowledge of evidence-based guidelines, and best-of-class service delivery as exampled by meeting support needs, technical resource and service, as well as performance and quality. This position supports the ICM model of patient-centric care. Acts as a mentor for new hires and orientees under the direction of the ICM Centralized UM Leadership team. This position supports the 24/7 System Centralized UM Department.
Required Qualifications
Preferred Qualifications
Essential Functions
Knowledge, Skills, and Abilities
Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class.
Full Time
Ambulatory Healthcare Services
$92k-111k (estimate)
03/31/2024
05/29/2024
sharp.com
SAN DIEGO, CA
7,500 - 15,000
1946
NGO/NPO/NFP/Organization/Association
SHARI FORTIN
$1B - $3B
Ambulatory Healthcare Services
Sharp owns and operates a chain of hospitals, medical clinics, nursing facilities and healthcare centers.