Case Manager II

3 weeks ago


Palo Alto, California, United States Lucile Packard Children's Hospital Stanford Full time
Job Summary

This role is responsible for coordinating the continuum of care and discharge planning activities for a caseload of assigned patients. The ideal candidate will have a strong background in nursing and experience in case management, with a focus on ensuring the most appropriate use of services by patients.

Key Responsibilities
  • Coordinate all facets of a patient's admission/discharge, including review of patient charts for timeliness of services and appropriate utilization of services.
  • Perform utilization review activities, ensuring optimum use of resources, service delivery, and compliance with external review agencies' requirements.
  • Act as a consultant to the clinical team, service lines, and other departments regarding patient assessment and patient care.
  • Participate in program development and quality improvement initiatives, ensuring the delivery and quality of patient care.
  • Develop and maintain documentation of findings, discharge arrangements, and actions taken according to departmental guidelines.
Requirements
  • Bachelor's Degree in Nursing from an accredited college or university.
  • Two (2) years of progressively responsible and directly related work experience.
  • CA Registered Nurse (RN) license.
Knowledge, Skills, and Abilities
  • Ability to collect and record data, evaluate data and statistics, and maintain effective reporting systems.
  • Ability to develop and perform patient assessment and plan of care.
  • Ability to monitor and assure the patient's access to the appropriate level of care, the right healthcare providers, and the correct setting and services to meet the patient's needs.
  • Ability to provide age-appropriate assessments, interpretation of data, and delivery of interventions.
  • Ability to provide appropriate patient care and clinical information when patients are admitted, referred, transferred, or discharged.
  • Ability to remain knowledgeable regarding available treatments and services.
  • Ability to resolve conflicts and/or negotiate with others to achieve positive results.
  • Ability to understand, interpret, and apply complex federal and state hospital compliance laws, rules, regulations, and guidelines.
Working Conditions

The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.

Compensation

Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data.



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