Emergency Department Case Manager

JOB DETAILS

• Shifts Available: Evenings 10hrs 40hrs/week
  
• Work Location: Onsite Palo Alto CA
  

Duties and Responsibilities

• Coordination of Care Collaborate with healthcare teams including physicians nurses social workers and other professionals to ensure continuity and appropriateness of care. Facilitate communication and coordination among healthcare providers patients and payers to optimize patient outcomes and minimize unnecessary healthcare services. Manages each patients transition through the system and transfers accountability to the appropriate person upon entry into another clinical service or discharge.
  

• Discharge Planning Coordinates and facilitates timely implementation of discharge plans for assigned patients with complex needs in collaboration with other interdisciplinary team members; arranges followup care as appropriate.
  
• Education/Consultation Acts as an educational resource and provides consultation to patients and their families hospital medical personnel regarding the discharge planning process and applicable regulatory requirements; educates the staff on case management; and provides specific information related to case types.
  
• Lead Work May lead the work of administrative/clinical support staff responsible for assisting with case management for an assigned patient caseload.
  
• Patient Assessment / Plan of Care Functions as a resource to and collaborates with physicians social workers nurses and other interdisciplinary teams members to assess plan and coordinate patient care needs and/or performs patient assessment and develops a plan of care to assure consistent timely and appropriate care is provided in a patientfocused manner.
  
• Quality Improvement Participates in quality improvement activities by identifying opportunities for improvement in such areas as clinical outcomes utilization of resources and concurrent data collection; participates in clinical process improvement teams within the department service lines and hospital.
  
• ThirdParty Reimbursement Collects analyzes reports and reviews patient information with thirdparty payors to assure reimbursement for patient services/procedures. Communicates with review organizations / payers to provide requested clinical and psychosocial information to assure reimbursement.
  

Requirements

MINMUM QUALIFICATIONS

Education Qualifications

• Bachelor s Degree or higher in Nursing from an accredited academic institution.
  

Licenses and Certifications

• CA Registered Nurse (RN)
  

Experience

• Three (3) years of progressively responsible and directly related work experience
  
• MUST have experience as an Emergency Department/UR Case Manager general nursing experience is NOT adequate for this specialized role
  

Benefits

• Dental/Medical/Vision
  
• 401k