Case Manager- Case Management- F/T Day Shift - 30110-1A

This job posting is no longer active.

Updated: Mar 9, 2022
Location: Orange
Job Type:
Department: Case Management

Job Description:

UC Title: CASE MGR EX

Position Number: 40308868

Reports to: Case Mgt Health Care Mgr 1

Working Title: Case Manager

Cost Center: Case Management (428727)

Bargaining Unit: UPTE

FLSA: Exempt

Date Created: 12/21/2019

Job Code: 007870

Hours: 40

Shift: Day Shift

FTE: 1

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:

Annual Rate  Minimum  $118,159.92                         Midpoint               $137,056.32                         Maximum             $155,931.84

Required Qualifications:

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

Familiarity of Joint Commission, CMS, CDPH and CCS requirements

Ability to establish and maintain effective working relationships across the Health System

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

Must demonstrate customer service skills appropriate to the job

Ability to facilitate and lead interdisciplinary rounds

Computer literacy and proficiency

Current RN License

Excellent written and verbal communication skills in English

Must possess complete understanding of acuity levels for specific patient population

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.

All external candidates must have a Bachelor of Science in Nursing                                                                               

Preferred Qualifications:

CCM, ACM or Case Management credentialing

Knowledge of University policies and procedures

Bilingual skills

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

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.