When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters.

This shared culture of happiness, passion, and dedication pulses through Cedars-Sinai, and it?s just one of the many reasons why we rank as one of the top hospitals in the nation by U.S. News & World Report.

Cedars-Sinai Medical Center is an organization known nationally for excellence in cancer treatment, research, and education.

We are seeking a highly motivated Administrative Assistant to provide administrative support and contribute to our mission of providing word-class health care and the best quality service to our patients and communities. We invite you to consider this exciting opportunity and provide us with an opportunity to learn more about you and your skills!

What will you be doing in this role?

The Utilization Review Case Manager validates the patient's placement to be at the most appropriate level of care based on nationally accepted admission criteria. The UR Case Manager uses medical necessity screening tools, such as InterQual or MCG criteria, to complete initial and continued stay reviews in determining appropriate level of patient care, appropriateness of tests/procedures and an estimation of the patient's expected length of stay. The UR Case Manager secures authorization for the patient's clinical services through timely collaboration and communication with payers as required. The UR Case Manager follows the UR process as defined in the Utilization Review Plan in accordance with the CMS Conditions of Participation for Utilization
 

Educational Requirements:

Assoc. Degree/College Diploma    Graduate of an accredited nursing program 
Bachelor's Degree    Nursing

Licenses:

RN State License
Basic Life Support (BLS)

Experience:

3 years    In acute nursing
2 years    Case Management/Utilization Management
1 year    CPT coding 

Physical Demands: 

Lifting 50 lbs. Carrying 50 lbs. Pushing 75 lbs. Pulling 75 lbs. Balancing, Stooping, Kneeling, Crouching, Reaching, Handling, Grasping, Feeling, Talking, Hearing, Repetitive Motions, Eye/Hand/Foot Coordination