Your Role on the TeamPosition Summary: The Case Manager is a clinician who in conjunction with other members of the healthcare team is accountable for timely coordination of quality health care services to meet the patient's health care needs across the continuum of care. This position requires knowledge of the development stages as services are provided to infants, children, adolescent, pediatrics, adult and geriatric populations. Also required is knowledge of cultural diversity and influences in the response to illness, as there is diversity in the population serviced. Case management initiates and implements utilization / resource management, continued stay monitoring, discharge planning, supporting optimal patient care outcomes along the continuum of care.
What It Takes to be SuccessfulRequired Qualifications:- Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
- Must demonstrate customer service skills appropriate to the job
- Excellent written and verbal communication skills in English
- Ability to maintain a work pace appropriate to the workload
- Ability to establish and maintain effective working relationships across the Health System
- Working knowledge of Intequal IS-SI Criteria
- Working Knowledge of Medicare, Medi-Cal, NCQA, Heidis, and other criteria identified by the Quality/Case Management Department
- Minimum of 1 year discharge planning experience
- Working knowledge of managed care and capitation operations
- Valid, current California Nursing License
Preferred Qualifications:- Knowledge of University and Medical Center organizations, policies, procedures and forms
- Certified Case Manager Certification
Total RewardsWe offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.
Conditions of Employment:The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:
- Background Check and Live Scan
- Employment Misconduct*
- Legal Right to Work in the United States
- Vaccination Policies
- Smoking and Tobacco Policy
- Drug Free Environment
*Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.
- California Child Abuse and Neglect Reporting Act
- E-Verify
- Pre-Placement Health Evaluation
Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php
Consideration for Work Authorization SponsorshipMust be able to provide proof of work authorization
