Case Manager RN (CASE MGR NEX)

Internal Number : 5405906

Case Manager RN (CASE MGR NEX)

Job Summary

The purpose of the Clinical Case Manager is to support the interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors.

The role integrates and coordinates utilization management, care facilitation and discharge planning functions. In addition, the Clinical Case Manager helps drive change by identifying areas where performance improvement is needed (, day to day workflow, education, process improvements, patient satisfaction).

The Clinical Case Manager is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay, and create a safe discharge plan.

Facilitation of the collaborative management of patient care across the continuum, completing utilization review around LOC and authorization concerns, and intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement.

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Apply By Date

07 / 21 / 2024 at 11 : 59pm; Interviews may occur at any time.

Minimum Qualifications

• Valid California Registered Nurse License without restriction
• Graduation from an accredited school of nursing. BSN preferred.
• Minimum of 1-year recent Case Management experience in discharge planning and / or utilization review management in an acute hospital.
• Knowledge of Medicare, MediCal, and HMO legislation, third party payor contracts, Title XXII, the Joint Commission. Demonstrated knowledge of how these programs / regulations affect the functions and role of the department.
• Knowledge of professional and ethical standards related to Clinical Case Management such as the Nursing Practice Act, the Codes of Ethics from the American Nurses Association and the Standards of Practice & Scope of Services by the American Case Management Association.
• Ability to read and comprehend English text and medical terminology; knowledge of medical and nursing treatment plans, levels of care, and area resources;

skill in assessing the appropriateness of medical admissions and continued stay.

Skill to perform in-depth chart analysis to provide accurate information in a concise, informative manner, identify / analyze problems or issues related to areas of responsibility, developing an appropriate plan, and considering medical needs and resources available.

Preferred Qualifications

Bachelor of Science in Nursing (BSN)

Department Description

The Clinical Case Management department has the responsibility of hospital-wide Utilization Review and Discharge Planning, TAR (Treatment Authorization Request) and Transfer Center.

Position Information

• Salary or Pay Range : $ - $
• Salary Frequency : Hourly
• Number of Positions : 3
• Appointment Type : Career
• Percentage of Time : 100%
• Shift Hours : 8 : 00 am - 4 : 30 pm
• Location : Medical Records Building or Cannery Building Alhambra / Stockton Blvd.
• Union Representation : Yes
• Benefits Eligible : Yes
• Hybrid / Remote / On-Site : On-site

Benefits

Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis Health offers a full range of benefits, resources and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial and career goals.

Learn more about the benefits below and eligibility rules by visiting our handy and our

If you are represented by a union, benefits are negotiated between the University of California (UC) and your union and finalized in a contract.

Read your bargaining unit's employment contract, stay abreast of current negotiations and learn about collective bargaining at UC :

• High quality and low-cost medical plans to choose from to fit your family's needs
• UC pays for Dental and Vision insurance premiums for you and your family
• Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave
• Paid Holidays annually as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement.
• Paid Time Off / Vacation / Sick Time as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement.
• Paid time off for professional development as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement.
• Continuing Education (CE) allowance and Education Reimbursement Program as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement.
• Access to free professional development courses and learning opportunities for personal and professional growth
• WorkLife and Wellness programs and resources
• On-site Employee Assistance Program including access to free mental health services
• Supplemental insurance offered including additional life, short / long term disability, pet insurance and legal coverage
• Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program for qualified roles
• Retirement benefit options for eligible roles including Pension and other Retirement Saving Plans. More information on our retirement benefits can be found
• UC Davis cares about building a community, which is why we provide resources to enhance as well as (ERGs) to support our staff

Physical Demands and Work Environment

Works overtime as defined by the collective bargaining agreements, floats to other areas and works weekends and holidays.

References reflect an overall meet or exceeds.

Special Requirements

• This position is a critical position and subject to a background check and drug screen. Employment is contingent upon successful completion of background investigation including criminal history, identity checks and drug screen.
• As a condition of employment, you will be required to comply with the University of California , as may be amended or revised from time to time.

Federal, state, or local public health directives may impose additional requirements.

Diversity, Equity, Inclusion and Belonging

At UC Davis, we're solving life's most urgent challenges to bring a fuller, healthier, and more resilient world within reach.

We grow from every challenge we take on and we don't just maintain - we improve. We recognize that creating an inclusive and intellectually vibrant organization means understanding and valuing both our individual differences and our common ground.

The most comprehensive solutions come from the most diverse minds, and you belong here. As you consider joining UC Davis, please explore our , our and for research and education, and our latest efforts to .

The University of California, Davis is an Equal Opportunity / Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.

For the University of California's Affirmative Action Policy please visit : .

For the University of California's Anti-Discrimination Policy, please visit : .

Because we want you to be seen, our recruiting process at UC Davis fosters authenticity, diversity, and inclusion. Studies have shown that some people may not apply to jobs unless they meet every single qualification.

Each unique role at UC Davis has a set of requirements and you could be perfect for this role, or you could be perfect for the next role! Don't meet all the requirements?

We still encourage you to apply! #YouBelongHere

To apply, visit

The University of California is an Equal Opportunity / Affirmative Action Employer advancing inclusive excellence. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.

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