Case Manager - Utilization Mgmt (Fixed Term) (50934)

  • Job Type: Full Time
  • FTE/Bi-Weekly Hours: 1.0/80
  • Shift: Days
  • Hours in Shift: 8
  • Location: Palo Alto, CA
  • Req: 50934

Job Description

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
II. 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
III. Frequent Contacts: Nursing unit staff, physicians, patients, patient families/significant others, insurance companies, DME providers, social workers, ancillary departments



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

1. Possesses a Bachelor's Degree in a Healthcare related field; a minimum of three years of acute hospital clinical experience strongly preferred; or the equivalent of education and experience. Master's Degree in Nursing or Healthcare related field preferred.

2. Current California RN licensure required.

3. Recent experience in case management, utilization review or discharge planning preferred.

4. Knowledge and abilities essential to the successful performance of the duties assigned to the position.

5. Demonstrates resourcefulness, effective written and oral communication, diplomacy, organizational, and analytic skills.

6. Self-directed, assertive and creative in problem solving, systems planning and patient care management in a high volume work environment.

7. Basic computer skills.

8. Ability to work effectively and collaboratively with interdisciplinary teams.

LICENSES/CERTIFICATION:

Registered Nurse with current California license required.

PHYSICAL REQUIREMENTS/WORK ENVIRONMENT

Work is sedentary in nature, no special physical demands are required.

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