'..RN Case Manager needed to support RN Case Manager for hospital system in Avalon, CA. Essential Functions

• Performs financial assessment to ascertain patients' source of payment for in-patient stay to begin review process and obtain timely payment for services rendered by hospital.
• Provides information in response to queries from doctors' offices, families and outside facilities.
• Provides case management, social services, utilization review, and discharge planning daily and on weekends as scheduled.
• Identifies and coordinates swing admissions and verifies admission requirements are met before transfer, including necessary screens and tests within the appropriate time frames.
• Reviews ED admissions/discharges and contacts ED patients to coordinate follow up visits with PCP or assist with coordinating transfers to another facility if needed.
• Develops and maintains relationships with specialty offices to aid in any transfer or collaboration of care.
• Participates and collaborates with interdisciplinary team and attends UR meetings.
• Reviews patient charts when a request for counseling is received.
• Reviews and assesses need for intervention and/or appropriate community resources.
• Must be available at least two Saturdays a month depending on admissions...