El Camino Health
Location
Mountain View, California
Salary
$89 - $117 / HOUR
Case Managers are licensed nursing professionals responsible for care coordination, transitions, discharge planning, and utilization review, working with the interdisciplinary team to advance patient care plans and ensure appropriate levels of care. They promote quality and cost-effective outcomes while ensuring a positive patient experience through evidence-based practices and resource utilization.
Candidates must possess a Bachelor’s degree in nursing and a current California RN license to qualify for this role. Preferred qualifications include three years of acute care or Case Management experience, with a minimum of one year in case management or managed care strongly preferred.
Job Responsibilities 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 patients care plan, 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. 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 This position will serve all age groups.
$89.40 - $116.78 USD Hour The Physical Requirements and Working Conditions of this job are available. 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. Sedentary Work - Duties performed mostly while sitting; walking and standing at times. Occasionally lift or carry up to 10 lbs. Uses hands and fingers. - (Physical Requirements-United States of America) 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. At El Camino Health, our nationally recognized doctors and care teams are committed to providing you with high-quality, excellent care. We aim to deliver a healthcare experience that is designed around your individual needs. When you choose El Camino Health for your care, you can count on: Distinguished hospitals. Our fully accredited hospitals, Los Gatos, and Mountain View, have received numerous awards and honors for high-quality healthcare. Exceptional talent. Our reputation attracts high-caliber doctors who are approachable and friendly, a nursing culture exceptional for its highly personalized patient and family care, and leadership with a deeply personal commitment. Innovative approaches to care. We seek new treatments and techniques, and contribute to the medical community through clinical trials. Our urgent care sites powered by Carbon Health enable easy, immediate scheduling and follow up through the Carbon Health app. A focus on health. Our regional Men's Health Program offers a team approach to care and has a variety of specialists who are focused on men’s health issues, including heart and vascular, urology, sleep disorders, sexual dysfunction and healthy weight. We created the South Asian Heart Center and the Chinese Health Initiative to address unique health disparities in our patient population. A healing environment. Our spaces were specially designed for tranquility and comfort.
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