Case Manager (Utilization Management) - Nights

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Job Description

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today. Position Summary: City of Hope is seeking a dedicated Clinical Nurse to join our Case Management team, specializing in cancer treatment. In this role, you will play a crucial part in coordinating patient care along the continuum, advocating for patients, and ensuring their satisfaction while focusing on cancer care. This opportunity is for full-time, 8-hour shifts (5 shifts per week), and is designated for night shifts. In addition to the base rate, this position will be eligible to receive shift and weekend differentials as applicable. As a successful candidate, you will: Utilize the Case Management process to effectively communicate and coordinate patient care, ensuring a seamless experience for patients receiving cancer treatment. Serve as a patient advocate, actively promoting customer satisfaction by addressing patient concerns and facilitating their needs. Collaborate with healthcare teams to assess and plan patient care, ensuring timely access to necessary resources and services. Monitor patient progress and identify opportunities for care improvement, working to enhance the overall quality of care delivery. Conduct prospective, concurrent, and retrospective utilization reviews to assess medical necessity and level of care Identifying opportunities to reduce avoidable delays Coordinate with case management and discharge planning teams to ensure smooth transitions of care Your qualifications should include: Bachelor’s Degree in Nursing Current CA RN License Minimum of three years current clinical experience, preferred background in oncology nursing BLS Certification, through the American Heart Association Experience in case management and familiarity with cancer treatment protocols. Exceptional communication and interpersonal skills, with a focus on patient advocacy and satisfaction. City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location City of Hope is an equal opportunity employer. To learn more about our Comprehensive Benefits, please click here