Per Diem Case Manager - Case Management - Days - Orange

About the Organization

UCI Health is one of California’s largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health — Orange, UCI Health — Irvine, four Community Network hospitals, and a growing network of ambulatory care centers across Orange and Los Angeles counties.

As Orange County’s only academic health system, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region’s only American College of Surgeons-verified Level I adult and Level II pediatric trauma center, American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department, and a nationally recognized regional burn center verified by the American Burn Association. Powered by UC Irvine, UCI Health serves 5.6 million people across Orange County, western Riverside County, and southeast Los Angeles County through excellence in patient care, research, and medical education.

About the Role

Incumbent is responsible for a high-level assessment and reassessment process for the patient/family to set priorities, plan, organize, and implement care that is goal-directed toward self-care outcomes. Collaborates with an interdisciplinary approach to care facilitation to promote and coordinate the delivery of high-quality, individualized, safe, and cost-effective patient care and transitions of care. Advocates for patient self-determination and choice. Practices cultural competence in evaluations and planning with awareness and respect for patient and family diversity. Concurrently intervenes to enhance patient quality outcomes where appropriate.

Ensures clinical information in the medical record is clear and complete, reflecting the patient’s true severity of illness through interfacing with physicians to improve the overall quality of clinical documentation.

Responsibilities

• Perform high-level assessment and reassessment for patients and families to set care priorities and goals.
• Plan, organize, and implement care aimed at self-care outcomes.
• Collaborate with interdisciplinary teams to facilitate and coordinate care delivery.
• Promote and ensure high-quality, individualized, safe, and cost-effective patient care and transitions of care.
• Advocate for patient self-determination and choice.
• Practice cultural competence in evaluations and planning, respecting patient and family diversity.
• Intervene to enhance patient quality outcomes as needed.
• Ensure clinical documentation in the medical record is clear, complete, and accurately reflects patient severity of illness.
• Interface with physicians to improve the quality of clinical documentation.

Requirements

• Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties.
• Complete understanding of acuity levels for the specific patient population.
• Demonstrated customer service skills appropriate to the job.
• Minimum 5 years of clinical experience and 1 year of previous Case Management experience, or a UCI employee who meets the clinical requirements and has a BSN.
• Familiarity with Joint Commission, CMS, CDPH, and CCS requirements.
• Excellent written and verbal communication skills in English.
• Current professional license as a Registered Nurse, Social Worker (MSW or LCSW), or Licensed Healthcare Therapist that allows for independent assessments within the scope of practice.
• Computer literacy and proficiency.
• All external candidates must have a Bachelor of Science in Nursing.
• Ability to manage multiple concurrent projects and maintain a work pace appropriate to the workload.
• Ability to facilitate and lead interdisciplinary rounds.
• Ability to establish and maintain effective working relationships across the Health System.

Preferred Qualifications

• Knowledge of University policies and procedures.
• Knowledge of California Children's Services benefits authorization process (CCS).
• CCM, ACM, or Case Management credentialing.
• Bilingual skills.
• BSN and/or Master's degree.

Benefits

We 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.
• Access to a number of discounts and perks.

Conditions of Employment

All applicants who accept an offer of employment must comply with the following conditions:

• Background Check and Live Scan.
• Employment Misconduct disclosure requirement.
• Legal Right to Work in the United States.
• Vaccination Policies.
• Smoking and Tobacco Policy.
• Drug-Free Environment.

Additional conditions may apply, including:

• California Child Abuse and Neglect Reporting Act compliance.
• E-Verify participation.
• Pre-Placement Health Evaluation.