Case Manager EX

Mar 21, 2018
Administrative Jobs
Student Affairs, Counseling
Institution Type
Four-Year Institution

Case Manager EX

Job Description & Salary Range

UC Title: Case Manager EX

Position Number: 10007325

Reports to: Case Manager, Supervisor

Working Title: Case Manager EX

Cost Center: Case Management (8727)

Bargaining Unit: HX

FLSA: Exempt

Job Code: 7870

Date Created: 03/09/2018

Shift: Day Shift

Hours: 20.00

Position Summary:

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. Monitors and coordinates resource utilization throughout the health system and evaluates services provided. Performs the appropriate utilization review functions utilizing medical staff-approved decision support criteria (InterQual Intensity of Service, Severity of Illness criteria). 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 the clinical documentation.

Salary Range:

Rate Minimum $95,985.36 Maximum $114,714.72

Required Qualifications:

Ability to establish and maintain effective working relationships across the HealthSystem

Ability to facilitate and lead interdisciplinary rounds

Ability to manage multiple concurrent projects and maintain a work pace appropriate to the workload

All external candidates must have a Bachelor of Science in Nursing

Computer literacy and proficiency

Current Licensed Registered Nurse, Social Worker (MSW or LCSW), or Licensed Healthcare Therapist professional that allows for independent assessments as permitted within the scope of practice of the discipline

Excellent written and verbal communication skills in English

Familiarity of Joint Commission, CMS, CDPH and CCS requirements

Minimum 5 years of clinical experience and 1 year of previous Case Management experience or completion of 6 months internal training.

Must demonstrate customer service skills appropriate to the job

Must possess complete understanding of acuity levels for specific patient population

Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties

Preferred Qualifications:

Bilingual skills

CCM, ACM or Case Management credentialing

Knowledge of California Children's Services benefits authorization process (CCS)

Knowledge of University policies and procedures

Physical, Mental & Environmental Demands:

To comply with the Rehabilitation Act of 1973 the essential physical, mental and environmental requirements for this job are listed below. These are requirements normally expected to perform regular job duties. Incumbent must be able to successfully perform all of the functions of the job with or without reasonable accommodation.

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