Case Manager (RN) (50669)

  • Job Type: Full Time
  • FTE/Bi-Weekly Hours: 1.0/80
  • Shift: Days
  • Hours in Shift: 8
  • Location: Palo Alto, CA
  • Req: 50669

Job Description

Welcome to the revolutionary new Stanford Hospital, opening in Fall 2019. Stanford Health Care (SHC) is no ordinary health system, and our new building is no ordinary hospital. You will be working in one of health care's best equipped, most innovative facilities, with the tools to deliver superb patient care. Five beautiful gardens, walking trails, a meditation room and abundant natural light make this the ideal environment for working and healing. You'll also be joining a renowned academic medical center that's part of Stanford Medicine and the Stanford University family. By combining clinical care, research and teaching, we're working together to harness the resources of one of the world's leading universities with groundbreaking programs—to create breakthroughs in diagnosis and treatment. Take this opportunity to work at the peak of your profession.


The Case Manager coordinates resources and services in response to individual patient's needs and fiscal realities, performs utilization review activities and oversees coordination of complex discharge planning for assigned case load. The Case Manager is an active member of the interdisciplinary team contributing to team goal setting. The Case Manager acts as a consultant to the clinical team, service lines and other departments and participates in program development and quality improvement initiatives. The Case Manager provides age-appropriate assessments, interpretation of data, and delivery of interventions. Demonstrates the ability to work with any patient regardless of race, gender, religious affiliation, cultural beliefs, lifestyle, disease process or treatment plan.
REPORTING RELATIONSHIPS I.
Reports To: Manager of Care Coordination, Director of Social Work and Case Management
Who Reports to this Position: The case manager oversees the work performed by the support liaison in relation to assigned cases, may supervise student interns.
Frequent Contacts: Nursing unit staff, physicians, patients, patient families/significant others, insurance companies, DME providers, social workers, ancillary departments

Essential Functions

1.
Oversees and coordinates complex discharge planning needs for assigned patients in collaboration with other interdisciplinary team members, assuring a discharge plan is developed and implemented in a timely manner.
Collaborates with physicians, social workers, support liaisons, and other interdisciplinary team members to assess, plan, and coordinate patient care needs.
Educates patients/families and other healthcare providers regarding utilization management and discharge planning options.
Reviews prospectively, concurrently, and retrospectively all in-patients for appropriateness of admission, level of care, and determines appropriate length of stay.
Monitors patients' length of stay by collaborating with physicians to ensure resource utilization is within covered benefits, and appropriate in relationship to the patient's clinical and psychosocial needs.
Communicates with review organizations/payers requesting clinical and psychosocial information to assure reimbursement.
Provides consultation and education to members of the healthcare team, hospital departments, service lines, community agencies, and providers.
Participates in quality improvement activities by identifying opportunities for improvement in such areas as clinical outcomes, utilization of resources, and concurrent data collection.
Participates in clinical process improvement teams within the department, service lines, and the hospital.
Participates in department program planning, including goal setting, program development, systems developments and improvements.
Participates in department and hospital committees and task forces.
Demonstrates competency with required computer programs and incorporates uses into daily work routines.
Demonstrates the ability to interpret data and trends using appropriate analytical skills.
Oversees and directs activities delegated to and performed by the Support Liaison.
Considers age specific needs of the patient as appropriate, and effectively communicates and interacts with patients, families, staff, and members of the community from diverse backgrounds.

As an equal opportunity employer, Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunities by non-discriminating in all policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.


Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Qualifications

Any combination of education and experience that would provide the required knowledge, skills, and abilities as well as possessing required licenses or certifications is qualifying and indicated below:
· Possesses a baccalaureate degree in a healthcare related field.
· Minimum of three years acute hospital clinical experience strongly preferred; or the equivalent of education and experience.
· Master's degree in nursing or healthcare related field is preferred.
· Recent experience in case management, utilization review, or discharge planning is preferred.
· Knowledge and abilities essential to the successful performance of the duties assigned to the position.
· Demonstrates resourcefulness, effective written and oral communication, diplomacy, organizational, and analytic skills.
· Self-directed, assertive, creative in problem solving, systems planning, and patient care management in a high volume, fast-paced work environment.
Basic computer skills.
· Ability to work effectively and collaboratively with interdisciplinary teams.
LICENSES/CERTIFICATION: Registered Nurse with current California license required.

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