Case Manager I - Care Coordination & Discharge Planning

El Camino Health; Mountain View (CA); On-site; USD 129,000 - 169,000; Full time

Job summary

El Camino Health in Mountain View, CA, seeks a licensed RN Case Manager to coordinate patient care, plan discharges, and manage utilization. The role emphasizes collaboration with the interdisciplinary team to ensure appropriate care levels and prevent readmissions.

Candidates must hold a California RN license, have a Bachelor’s in nursing, and several years of acute-care or case-management experience. Strong communication, advocacy, and data-analysis skills are essential; knowledge of

Qualifications

• Must have a Bachelor’s degree in nursing.
• Three years’ experience in the acute care setting and/or Case Management preferred.
• Minimum 1 year experience in case management and/or managed care strongly preferred.
• Ability to work well with physicians, health care providers, discharge planning and outside agencies regarding continued care/treatment or hospitalization.
• Advanced communication skills in advocacy, negotiation and conflict resolution.
• Ability to perform utilization management functions to ensure the appropriate level of care and ensure appropriate utilization of resources.
• Computer literate, with experience in word processing, data analysis and presentation development.

Responsibilities

• Case Managers are licensed nursing professionals who are responsible for care coordination, care transitions, discharge planning, and utilization review.
• Through use of evidence-based practices, effective communication and utilization of available resources, Case Managers work in collaboration with the interdisciplinary team to advance patients care plan, ensure the appropriate level of care, and prevent unnecessary admissions and readmissions.
• Responsible for promoting quality and cost-effective outcomes while assuring a positive patient experience.
• Has frequent contact with patients, families, physicians, nursing, interdisciplinary team members, quality, insurance companies, medical directors, post-acute providers, and community resources.
• Interprets regulations, health plan benefits, policies and procedures, and ensures compliance with federal, state, and local requirements.

Skills

Case management experience

Advanced communication skills

Advocacy and negotiation

Conflict resolution

Utilization management

Data analysis

Presentation development

Computer literate

Education

Bachelor’s degree in nursing

Job description

El Camino Health in Mountain View, CA, seeks a licensed RN Case Manager to coordinate patient care, plan discharges, and manage utilization. The role emphasizes collaboration with the interdisciplinary team to ensure appropriate care levels and prevent readmissions.

Candidates must hold a California RN license, have a Bachelor’s in nursing, and several years of acute-care or case-management experience. Strong communication, advocacy, and data-analysis skills are essential; knowledge of