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

Job Description

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 patient care plans, 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.

• 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.

• Current California RN license.
• CCM (Certified Case Manager) or ACM (Accredited Case Manager) certification preferred.

This position will serve all age groups.

$93.87 - $122.62 USD Hour

Physical requirements and working conditions are available. Sedentary work: duties performed mostly while sitting; walking and standing asionally lift or carry up to 10 lbs. Uses hands and fingers.

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.