Discharge Planner - Utilization Management

Paradise Valley Hospital; National City (CA); On-site; USD 32,000 - 37,000; Full time

Job summary

Paradise Valley Hospital in National City, CA, part of Prime Healthcare, seeks a Case Management professional to coordinate discharge planning, authorizations, and referrals. Join an award-winning team dedicated to quality, compassion and community.

Responsibilities include collaboration with social workers, Medicaid submissions, and developing safe discharge plans with families. Full-time, day shift with comprehensive benefits.

Qualifications

• Discharge Planning, Utilization Management and Case Management terminology and functions.
• Basic to intermediate computer skills required.
• High School Diploma required.

Responsibilities

• Coordinate the activities of the Case Management Department under the assigned Case Manager.
• Assist with discharge planning, referrals and authorizations.
• Maintain Medicaid state submission forms per facility procedures and file them.

Skills

Discharge Planning

Utilization Mgmt

Case Management

Computer Skills

Education

High School Diploma

Job description

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Paradise Valley Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Paradise Valley Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Paradise Valley Hospital is the South Bay's oldest hospital, the second oldest hospital in all of San Diego County, and the largest employer in National City. For more than 100 years, Paradise Valley Hospital has served San Diego faithfully, proud of our heritage and providing numerous programs and services to meet the changing needs of our community.

Our 291-bed, acute care hospital features the San Diego Spine & Joint Center, a highly credentialed acute rehabilitation center, our Paradise Health & Senior Center, a fully equipped and modern cardiac catheterization lab, and comprehensive inpatient and outpatient surgical services, and 24-hour emergency services.

In addition to our healthcare services, we offer comprehensive behavioral health services on the hospital campus and Bayview campus in Chula Vista. Services include psychiatric continuum of care for adult patients, inpatient services, and intensive outpatient services. Learn more at https://www.paradisevalleyhospital.net/.

Responsibilities

Responsible for the coordination of the various activities of the Case Management Department under the direction of the assigned Case Manager/Social Worker assist with development and implementations of discharge plans. Assists with case management referrals and authorizations. Maintains and coordinates Medicaid state submission forms for presentation to on-site reviewer and files them accordingly or as per facility's procedure. Assists with Discharge Planning as assigned by interviewing patients/families and gathering data to develop a safe patient-focused Discharge Plan.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

Required Qualifications

• Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non-managed care environments.
• Experience in basic to intermediate computer skills/knowledge.
• High School Diploma required.

Preferred Qualifications

• Current BCLS certificate required upon hire and maintain current preferred.
• Associates degree or LVN license preferred.
• Experience in the hospital setting preferred.

Pay Transparency

Paradise Valley Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $23.00 to $27.16. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Privacy Notice

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf