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Trinity Health Utilization Review Manager, Case Management - Full Time in Fresno, California

Employment Type:

Full time

Shift:

Day Shift

Description:

Reporting to the Director, Case Management, Case Management, this position is responsible for management, leadership, and coordination of the departments of the Utilization Manager Team to ensure payor reimbursement for services rendered while supporting the healing mission of Saint Agnes Medical Center. The Manager Utilization Management will ensure the timely delivery of utilization review, discharge planning and support case management and the psychosocial services to patients, families, and hospital staff

  1. Bachelor's degree in nursing (BSN) from an accredited school is required.

  2. State of California Registered Nurse (RN) is required. Clinical professionals currently licensed outside the State of California will be provided six (6) months from date of hire to obtain equivalent California state licensure.

  3. Four (4) years of professional experience as a licensed clinical professional is required.

  4. Two (2) years of supervisory/management experience in healthcare environment is required.

  5. Current American Heart Association (AHA) Healthcare Provider CPR card is required.

  6. Certified Case Manager (CCM) certification preferred.

Pay Range

$56.70 - $85.06

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran

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