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Utilization Manager II - UM System Services - Spectrum - FT - Variable
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Full-time
- Certified Case Manager (CCM) - Commission for Case Manager Certification; Accredited Case Manager (ACM) - American Case Management Association (ACMA); Bachelor's Degree in Nursing; California Registered Nurse (RN) - CA Board of Registered Nursing; Bachelor's Degree
- The 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.
- As a member of the System Integrated Care Management (ICM) team the Utilization Manager (UM) II position supports utilization review functions to ensure appropriate patient status before the patient is bedded, during the episode of care through discharge with a final status reconciliation.
- 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.
- This position supports the ICM model of patient-centric care.
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