Utilization Review​/Discharge Planning

Utilization Review / Discharge Planning

Regular Full-Time

Job :  
Category: Nursing Opportunities

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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
• Required 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, a nd 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:

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