Case Manager- Case Management

$95K - $114K
Posted on 07/03/18
Healthcare
$95K - $114K
Posted on 07/03/18

Incumbent isresponsible for a high level assessment and reassessment process for the patient/family to set priorities, plan, organize, and implement care that is goal-directed toward self-care outcomes.  Collaborates with an interdisciplinary approach to care facilitation to promote and coordinate the delivery of high quality, individualized, safe and cost-effectivepatient care, and transitions of care.  Advocates for patient self-determination and choice.  Practices cultural competence in evaluations and planning with awareness and respect for patient and familydiversity.  Monitors and coordinates resourceutilization throughout the health system and evaluates services provided.  Performs the appropriateutilization review functions utilizing medical staff-approved decisionsupportcriteria (InterQual Intensity of Service, Severity of Illness criteria).  Concurrently intervenes to enhance patient quality outcomes where appropriate.  Ensures clinical information in the medical record is clear and complete reflecting the patient’s true severity of illness through interfacing with physicians to improve the overall quality of the clinical documentation.

 

Salary Range: 

 

Rate    Minimum  $95,985.36    Maximum  $114,714.72

 

Required Qualifications:

Ability to establish and maintain effective working relationships across the HealthSystem

Ability to facilitate and lead interdisciplinary rounds

Ability to manage multiple concurrent projects and maintain a work pace appropriate to the workload

All external candidates must have a Bachelor of Science in Nursing                                                                               

Computer literacy and proficiency

Current RN License

Excellent written and verbal communication skills in English

Familiarity of Joint Commission, CMS, CDPH and CCS requirements

Minimum 5 years of clinical experience and 1 year of previous Case Management experience or a UCI employee who meets the clinical requirements and has a BSN.

Must demonstrate customer service skills appropriate to the job

Must possess complete understanding of acuity levels for specific patient population

Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties

 

Preferred Qualifications:

Bilingual skills

CCM, ACM or Case Management credentialing

Knowledge of California Children's Services benefits authorization process (CCS)

Knowledge of University policies and procedures

10003947

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