Case Management Liaison

Stanford Health Care Tri-Valley; Pleasanton (CA); On-site; USD 55,000 - 68,000; Full time

Job summary

Stanford Health Care Tri-Valley in Pleasanton, CA is seeking a Case Management Liaison to coordinate discharge planning and verify insurance, under supervision. You will serve as the communication hub for coordinating services and equipment as patients transition between settings.

This role involves clerical support for nursing staff, maintaining forms, arranging patient transport, and performing reviews under the Case Manager.

Qualifications

• High school diploma or GED equivalent. Required
• Bachelor’s degree Preferred
• One (1) year prior experience as Discharge Planning Assistant Required
• Two (2) years of progressive clerical experience with referrals to HH, SNF, Transportation and DMEs Preferred

Responsibilities

• Performs clerical and secretarial functions for nursing department personnel within the assistant sphere of responsibility.
• Maintains master binder/file of computer generated forms, admissions, transfer packets and department logs.
• Assists with setting up patient transport to SNF, Home Health and hospice services.
• Responsible with checking UR calls, assists with faxing clinical reviews to different payors and input to EMR.
• Performs admission, concurrent and retrospective reviews under the direction of the Case Manager, following established guidelines.
• In addition, they will assist with departmental staffing time keeping input.
• CTI Discharge assistants will run and keep reports for CTI team discharge, track patient files, follow up on post discharge needs with SNF, and will act as liaisons for follow up appointments.
• Performs clerical activities and data entry related to discharge planning, utilization review, patient disposition, community referrals.
• Assists with compiling resource information and developing resource files.
• Employee must perform all duties and responsibilities in accordance with the C-I-CARE Standards of the Hospital.

Skills

Computer skills

Detail oriented

Medical terminology

Home health knowledge

English proficiency

Insurance verification

Communication skills

Education

High school diploma or GED

Bachelor’s degree preferred

Job description

If you’re ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.

Day - 10 Hour (United States of America)

This is a Stanford Health Care Tri-Valley job.

A Brief Overview

The Case Management Liaison is a member of the health care team who assists in the coordination of discharge planning and insurance verification, under the direction of a Social Worker and Case Manager as assigned by the Social Work Supervisor. This position is the focal point of communication and organizing for the utilization of services and equipment, both in the acute setting and to the transitioning facility or home. Performs various clerical functions that setup a solid flow towards transitioning the patient to the next care setting. Applies the SHC – ValleyCare values to the performance of every job duty. These values include Quality, Teamwork, Respect, Courtesy, Empowerment, Responsiveness, Recognition and Improvement.

Locations

Stanford Health Care Tri-Valley

What you will do

• Performs various clerical and secretarial functions for nursing department personnel within the assistant sphere of responsibility.
• Maintains master binder/file of computer generated forms, admissions, transfer packets and department logs.
• Assists with setting up patient transport to SNF, Home Health and hospice services.
• Responsible with checking UR calls, assists with faxing clinical reviews to different payors and input to EMR.
• Performs admission, concurrent and retrospective reviews under the direction of the Case Manager, following established guidelines.
• In addition, they will assist with departmental staffing time keeping input.
• CTI Discharge assistants will run and keep reports for CTI team discharge, track patient files, follow up on post discharge needs with SNF, and will act as liaisons for follow up appointments.
• Performs clerical activities and data entry related to discharge planning, utilization review, patient disposition, community referrals.
• Assists with compiling resource information and developing resource files.
• Employee must perform all duties and responsibilities in accordance with the C-I-CARE Standards of the Hospital. C-I-CARE is the foundation of Stanford Healthcare – ValleyCare’s patient-experience and represents a framework for patient-centered interactions.

Education Qualifications

• High school diploma or GED equivalent. Required
• Bachelor’s degree Preferred

Experience Qualifications

• One (1) year prior experience as Discharge Planning Assistant Required
• Two (2) years of progressive clerical experience with referrals to HH, SNF, Transportation and DMEs Preferred

Required Knowledge, Skills and Abilities

• Strong basic computer skills.
• Detail oriented.
• Basic knowledge of medical terminology.
• Knowledge of Home Health, Skilled Nursing and basic Clerical Assistant duties.
• Strong command of the English language.
• Insurance verification experience.
• Excellent communication skills.

Licenses and Certifications

• BLS - Basic Life Support required .

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family’s perspective:

• Know Me: Anticipate my needs and status to deliver effective care
• Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
• Coordinate for Me: Own the complexity of my care through coordination

**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.

Base Pay Scale: Generally starting at $39.56 - $49.45 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.