Case Management

NHS Solutions has an immediate need for an Interim Case Management Educator. The Interim System Educator role will include assisting the Director in establishing, implementing and ensuring that care management policies, practices and procedures are in accordance with the JC, Title 22 and other regulatory agencies and overall hospital policies. The Interim System Case Management Educator will manage and assume responsibility for day to day operations of utilization management, care coordination and discharge planning activities. Other duties include:

  • Conducting inter-department team conferences for identifying aberrant utilization
  • Establishing a method of tracking variences based on critical timelines
  • Develop and provide statistical UM information and reports
  • Direct and coordinate data gathering and record keeping
  • Manage pre-admission review
  • Oversee submission of any audits

Key Qualifications:

  • MSN or Masters of Social Work preferred
  • California RN license or Clinical Social Work license
  • 5 years case management or utilization experience in a healthcare organization
  • 2 years supervisory experience
  • BLS

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