Job Description

Provides direct supervision to the Care Coordination staff in the areas of Utilization Management and Discharge Planning. Manages denial of services notifications, departmental Performance Improvement Program, denial statistics and appeals. Promotes organizational interdisciplinary collaboration.

Qualifications

Minimum Education Requirement:

• Bachelors degree in nursing or in a related field preferred.

Minimum Experience Requirement:

• Two years recent acute clinical experience. Experience with discharge planning, utilization management and criteria sets preferred.
• Effective written, verbal and time management skills.
• Ability to work independently as well as establish relationships and function within a team. Knowledge of medical information systems.
• Ability to use a computer and make notations.
• Excellent customer service skills required.

Minimum License Requirement:

• Current California R.N. license. Maintains BLS certification.

About the Hospital

With almost 100 years serving the community, Emanate Health has grown to become the largest, nonprofit health care provider serving more than 1 million people in the San Gabriel Valley.

Emanate Health provides leading care through our three hospitals, Inter-Community Hospital, Queen of the Valley Hospital, Foothill Presbyterian Hospital; our Hospice and Home Care; and our network of more than 16 primary and specialty care locations.

Emanate Health’s brand of technologically-advanced, comprehensive health care service is possible only through the combined effort of our talented employees, physicians, volunteers and donors who make up the Emanate Health family.