Utilization Review / Discharge Planning

This multifaceted role will focus on discharge planning, utilization review, and swing bed coordination within our healthcare facility. The Case Manager will play a pivotal role in ensuring the smooth transition of patients from the acute care setting to appropriate post-acute care options, while also managing utilization and assisting swing bed services.

We are located at 1065 Bucks Lake Road Quincy, CA 95971

• Hourly Rate: $58.98 – $84.09 (based on clinical pay scale)

• Full-time, benefited
• Requried to be put on administration on call schedule 

Experience:

• A Minimum of three (3) years' experience in case management and utilization management. 

Education:

• Bachelor's degree in a healthcare-related field (such as Nursing, or Healthcare Administration).
• Current healthcare licensure or relevant certification (e.g., RN or related lic.).

Knowledge, Skills, and Abilities:

• Knowledge of insurance and Medicare/Medicaid regulations.
• Excellent communication and interpersonal skills.
• Strong organizational and time-management abilities.
• Ability to work collaboratively in a multidisciplinary healthcare team.
• Understanding of medical terminology and patient care.
• Excellent skills in crucial conversations, and emotional intelligence.

• Conduct comprehensive assessments of patients' medical, social, and financial needs to develop effective discharge plans.
• Collaborate with physicians, nurses, social workers, and other healthcare professionals to ensure that patients receive the most suitable and seamless post-acute care.
• Coordinate and facilitate family meetings to educate and involve patients and their families in the discharge planning process.
• Monitor and update discharge plans to address evolving patient needs and conditions.
• Review and assess the medical necessity and appropriateness of care provided to patients.

• Pay & Recognition
• Balanced Life
• Well-Being
• Professional Growth
• Dependent Care
• Child Care

 At PDH, we believe investing in our team matters. Our benefits and perks include medical, vision, dental, 401k, retirement, paid time off, discounted memberships with Flight/American Medical Care Network, housing stipend or paid housing for first 3 months of employment, shift differentials, and more! PDH Benefits to review more details on current options available

Work in a supportive, community-focused clinic environment surrounded by the beauty of the Sierra Nevada. Make a lasting impact on patient care while enjoying competitive pay and meaningful benefits.

Recruiter Name/Email:

Nicholas Clawson

Department Phone:

530-283-7169