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

Job Responsibilities

• Care coordination
• Care transitions
• Discharge planning
• Utilization review
• Promote quality and cost-effective outcomes
• Prevent unnecessary admissions and readmissions
• Advocate for patients and families
• Negotiate and resolve conflicts
• Ensure appropriate level of care
• Utilize available resources effectively
• Interpret regulations, health plan benefits, policies and procedures
• Ensure compliance with federal, state, and local requirements

Qualifications

• 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

License/Certification/Registration Requirements

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

Ages of Patients Served

• All age groups

Salary Range

$89.40 - $116.78 USD Hour

Physical Requirements and Working Conditions

(Physical Requirements-United States of America)

Benefits

El Camino Health will provide reasonable accommodations to qualified individuals with a disability if that will allow them to perform the essential functions of a job unless doing so creates an undue hardship for the hospital, or causes a direct threat to these individuals or others in the workplace which cannot be eliminated by reasonable accommodation.

Schedule

FTE 1 Scheduled Bi-Weekly Hours 80 Work Shift Day: 8 hours