Case Manager I - PD - Days - Care Coordination-Patient Support @ MV

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 is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen.

FTE

0

Scheduled Bi-Weekly Hours

0

Work Shift

Day: 8 hours

Job Description

Job 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.

Qualifications

• Bachelor’s degree in nursing required.

• Three years’ experience in the acute care setting and/or Case Management experience 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.

License/Certification/Registration Requirements

Current California RN license.

CCM (Certified Case Manager) or ACM (Accredited Case Manager) certification preferred.

Ages of Patients Served

This position will serve all age groups.

Salary Range:

$93.87 - $122.62 USD Hour

The Physical Requirements and Working Conditions of this job are available. El Camino Health will provide reasonable accommodations to qualified individuals with a disability if that will allow them to perform the essential functions of a job unless doing so creates an undue hardship for the hospital, or causes a direct threat to these individuals or others in the workplace which cannot be eliminated by reasonable accommodation.

Sedentary Work - Duties performed mostly while sitting; walking and standing at times. Occasionally lift or carry up to 10 lbs. Uses hands and fingers. - (Physical Requirements-United States of America)

An Equal Opportunity Employer:

El Camino Health seeks and values a diverse workforce. The organization is an equal opportunity employer and makes employment decisions on the basis of qualifications and competencies. El Camino Health prohibits discrimination in employment based on race, ancestry, national origin, color, sex, sexual orientation, gender identity, religion, disability, marital status, age, medical condition or any other status protected by law. In addition to state and federal law, El Camino Health also follows all applicable fair and equitable employment policies from the County of Santa Clara.