Case Manager

About the role

Reviews each assigned case for appropriateness of admission and level of care. Acquires authorizations for non-elective admissions, continued stays, and post-acute hospital needs. Assesses patient/family needs for additional resources throughout the hospital stay and communicates identified needs and resources given to all appropriate team members.

Responsibilities

• Reviews medical information on all assigned patients and provides clinical justification of the admission using hospital/industry approved criteria within one working day, including identification of the appropriate level of care.
• Responsible for working collaboratively with all healthcare team members to develop and implement treatment plans that support the patient-centered plan of care for both individual patients and the service-line.
• Communicates accurately with Supervisor, Financial Counselors, Contract Dept., and/or Patient Accounting for pertinent account information or service needs.
• Determines appropriate discharge options and identifies medical/psychological/social conditions that may require additional therapeutic support/treatment and communicates this to the staff contact at the higher level of care facility.
• Educates, coaches and promotes self-management skills and patient adherence to treatment plan by utilizing appropriate education methods based on the individualized patient needs, abilities, preferences and readiness to learn with respect to cultural, social, or ethical considerations.
• Attends staff meetings and serves on hospital wide committees.
• Participates in daily Patient Rounds.

Requirements

Graduate from an accredited school of nursing. 2+ years to 3 years acute care nursing experience needed. Strong communication and interpersonal skills. Strong attention to detail. Knowledge of the principles of growth and development and the ability to assess and interpret data regarding a patient’s status to identify the patient’s needs and appropriate care. Knowledge of acute care in relation to safety, security and joint commission standards.

Qualifications

• Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure required.
• Current American Heart Association Certification for Basic Life Support for Healthcare Providers required.
• ACM orCCM - Certified Case Manager preferred.

Skills

Basic Computer skills required. Strong advocacy and problem-solving skills. Strong attention to detail. Knowledge of the principles of growth and development and the ability to assess and interpret data regarding a patient’s status to identify the patient’s needs and appropriate care. Knowledge of acute care in relation to safety, security and joint commission standards.

Benefits

Equal Opportunity Employer. Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment.

Pay

Base Pay Scale: Generally starting at $70.57 - $95.29 per hour. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training.

Schedule

Day - 10 Hour (United States of America)