Full time
Martin Luther King, Jr. Community Hospital
Gardena, CA, USA
Please apply online and send your resume to MarisMartinez@mlk.org POSITION SUMMARY Reporting to the Director of Care Management, the Care Manager is responsible for managing the continuum of care from admission through discharge for assigned patients. The role reflects appropriate knowledge of RN scope of practice, current state requirements, CMS Conditions of Participation, EMTALA, The Patient Bill of Rights, AB1203 and other Federal or State regulatory agency requirements specific to Utilization Review and Discharge Planning. The Care Manager partners with the medical staff, utilizes scientific evidence for best practices, and relevant data to manage the care of the patient over the continuum of care from pre hospitalization through discharge. These activities include admission, continued, extended and discharge reviews in all reimbursement categories to determine medical necessity, assure high quality of care and efficient utilization of available healthcare resources,...