Play a key role in the delivery of world-class patient care. Help advance nursing excellence within an award-winning health system. Take your nursing career in an exciting new direction. At UCLA Health, you can do all this and more.
Right now, we have an exciting opportunity for an experienced nursing leader to take on the important role of Revenue Cycle Manager, Care Coordination. You will be responsible for leading and overseeing clinical case management, utilization management, and discharge planning. You will serve as the point of contact to nursing, physicians and ancillary medical personnel, service line leadership, administration, other hospitals, health plans and other third-party payors. You will be accountable for the systems, processes, and outcomes of clinical care teams and programs that are designed to address clinical, psychosocial, and financial needs of patients and families. In this position, you will assume responsibility for personnel management, regulatory compliance, collaboration across the organization, safety and risk management, performance improvement, staff education, and policy implementation.
We’re seeking a self-directed achiever with a current California RN license and:
BSN degree – MSN strongly preferred.
Understanding of management principles as well as knowledge of managed care and commercial insurance, Medi-Cal, Medicare, and CCS.
Exceptional analytical, organizational, communication, problem solving and planning skills.
Demonstrated track record of independence, flexibility, initiative, and creativity.
Working knowledge of utilization management principles and processes.
General knowledge of rules and regulations governing third party reimbursement or the medical review agency.
Ability to design and/or implement data collection tools.
Understanding of health care, healthcare delivery systems and managed care.
UCLA Health is a world-renowned health system with four award-winning hospitals and dozens of primary care practices, specialty practices, urgent care centers and other ancillary locations throughout metro Los Angeles. Through the efforts of our outstanding people, we have become Los Angeles’ trusted provider of exceptional, compassionate patient care. If you’re looking to experience greater challenge and fulfillment in your career, you can at UCLA Health.
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Internal Number: 63870025
At UCLA Health, you can help heal humankind, one patient at a time by improving health, alleviating suffering and delivering acts of kindness. As you do, you’ll achieve great things in your life and your career. We’re a world-class health organization with four hospitals consistently recognized among the nation’s very best as well as an internationally-renowned medical school, primary and specialty care clinics and much more. Within our dynamic, innovative and growing organization, you’ll find exceptional opportunities to make the most of your abilities in a supportive, empowering and inclusive environment. If you embrace our values of Integrity, Compassion, Respect, Teamwork, Excellence and Discovery we invite you to see all you can accomplish at UCLA Health.