Incumbent collaborates with the attending and resident medical staff, as well as nursing, ancillary and technical staff to coordinate the delivery of high quality, individualized, cost-effective patient care. Coordinates resource utilization throughout the HealthSystem and evaluates services provided. Coordinates interdisciplinary referrals utilizing pre-established criteria for quality and appropriateness to the acute care or ambulatory setting. Performs the appropriate utilization review functions on the managed population utilizing approved Intensity of Service and Severity of Illness criteria. Supports the performance improvement process through comprehensive analysis of patterns and trends. Interacts with the patient/family. Utilizes nursing process, as appropriate, to set priorities, plan, organize and implement care that is directed toward self-care outcomes.
Annual Rate $111373.92 $129184.56 $146974.32
Current CA RN license
Ability to maintain a work pace appropriate to the workload
Must demonstrate customer service skills appropriate to the job
Excellent written and verbal communication skills in English
All external candidates must have a Bachelor of Science in Nursing
Basic Life Support Certification from AHA
Minimum 1 year experience in Cardiac Care Setting
Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
Bilingual in English/Spanish or English/Vietnamese (certain clinics may require this qualification)
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