UCSF

Public health sciences university in San Francisco

RN Case Manager

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours

Full-timeSan Francisco, CA, USA$113.25

About the Job

Requirements

A minimum of two years of inpatient nursing case management experience is required.
A Bachelor’s degree in a healthcare-related field is required.
The position requires flexibility to orient and work at all UCSF Medical Center locations.
Knowledge and abilities essential to successful performance of the assigned duties are required.
Resourcefulness, strong written and oral communication, diplomacy, organizational skills, and analytical skills are required.
The candidate must be self-directed, assertive, and creative in problem solving, systems planning, and patient care management in a high-volume work environment.
Basic computer skills and proficiency with an electronic patient record are required.
The candidate must be able to work effectively and collaboratively with interdisciplinary teams.
A valid Registered Nurse license in California is required.

Responsibilities

Promote optimal clinical and resource outcomes and facilitate appropriate lengths of stay for hospital admissions in accordance with organizational goals and objectives.
Manage a designated complex and resource-intensive patient caseload and coordinate complex discharge planning for assigned patients.
Contribute to interdisciplinary team goal setting as an active member of the team.
Consult with the clinical team, service lines, and other departments, and participate in program development and quality improvement initiatives.
Provide age-appropriate assessments, interpret data, and deliver interventions while working effectively with patients across diverse backgrounds and circumstances.
Coordinate care progression with the multidisciplinary treatment team to optimize patient outcomes and support timely discharge when patients are medically ready.
Assess discharge needs based on initial screening, identify readmission risks and patient strengths and transition needs, and collaborate throughout the discharge-planning process, including assessment, planning, implementation, teaching, evaluation, and discharge readiness.
Coordinate complex medical discharge planning with interdisciplinary team members, develop and implement safe discharge plans, and proactively identify and resolve delays and obstacles.
Work with providers and the multidisciplinary team to manage clinical resources and transition planning from admission through discharge, identify barriers to services, and facilitate diagnostic testing, discharge planning, plan-of-care modifications, and required documentation in APeX flowsheets and patient records.
Coordinate and lead multidisciplinary rounds, monitor discharge milestones, assign accountability for tasks, and identify or escalate barriers to timely discharge when medically ready.
Ensure critical care-plan elements are communicated to patients, families, and healthcare-team members and documented to support continuity of care.
Consider patients’ age-specific needs and communicate and interact effectively with patients, families, staff, and community members from diverse backgrounds.
Refer appropriate cases for social work intervention and, for patients with significant psychosocial needs, serve as secondary care manager in collaboration with the social worker.
Monitor length of stay and collaborate with physicians to ensure resource utilization is within covered benefits and appropriate to patients’ clinical and psychosocial needs.
Facilitate referrals through Resource Coordinators for post-acute resources, including home health care, skilled nursing facilities, rehabilitation facilities, hospice, medical equipment, and supplies.
Oversee and direct activities delegated to Resource Coordinators, Patient Care Navigators, and Support Liaisons.
Participate in clinical performance and quality-improvement teams; use clinical, fiscal, and patient-satisfaction data to identify improvements and plan and implement performance-improvement strategies for assigned patients.
Provide consultation and education to healthcare-team members, hospital departments, service lines, community agencies, and providers.
Develop, implement, evaluate, and revise clinical pathways and case-management tools as a member of the clinical resource team.
Participate in department program planning, goal setting, program and systems development and improvement, and department and hospital committees and task forces.
Use work-required computer programs in daily work and interpret data and trends using appropriate analytical skills.

Desired Qualifications

Recent experience in utilization review or discharge planning is preferred.
A Master’s degree in Nursing or a healthcare-related field is preferred.

The Case Manager promotes the achievement of optimal clinical and resource outcomes and is responsible for facilitating appropriate lengths of stay for all hospital admissions in accordance with its goals and objectives. The case manager is responsible for a designated patient caseload that is considered complex and resource intensive, and oversees coordination of complex discharge planning for assigned case load. The Case Manager is an active member of the interdisciplinary team contributing to team goal setting. The Case Manager acts as a consultant to the clinical team, service lines and other departments and participates in program development and quality improvement initiatives.

The Case Manager provides age-appropriate assessments, interpretation of data, and delivery of interventions. Demonstrates the ability to work with any patient regardless of race, gender, religious affiliation, sexual orientation, cultural beliefs, lifestyle, and disease process or treatment plan.

Required qualifications:

Minimum of two years of inpatient nursing case management experience.
This position requires flexibility to orient and work at all UCSF Medical Center locations.
Possesses a Bachelor’s Degree in a Healthcare related field.
Knowledge and abilities essential to the successful performance of the duties assigned to the position.
Demonstrates resourcefulness, superior written and oral communication, diplomacy, organizational and analytic skills.
Self-directed, assertive and creative in problem solving, systems planning and patient care management in a high volume work environment.
Basic computer skills and proficiency with an electronic patient record
Ability to work effectively and collaboratively with interdisciplinary teams.

Preferred qualifications:

Recent experience in utilization review or discharge planning preferred.
Master’s Degree in Nursing or Healthcare related field preferred.

Licenses/Certifications

Valid Registered Nurse license in the State of California

DUTIES & ESSENTIAL JOB FUNCTIONS

Identify the functions or tasks that employees in the job perform. The essential functions should state the purpose of the work and the results to be accomplished, rather than how the function is performed. Of the tasks listed, what percentage of time is devoted to each? The more time employees spend on a function, the more likely it is that the function is essential. Generally, include those functions that account for 10% or more of the work, i.e., key items that contribute significantly to the achievement of the job. The functions should add up to 100%.

% of time	Essential Function (Yes/No)	Key Responsibilities (To be completed by Supervisor)
40	YES	Work in a collaborative practice model, facilitating care coordination with the multidisciplinary treatment team for care progression to optimize patient outcomes and timely discharge when patient is deemed medically ready. Provide case management assessment and interventions based on initial screening for discharge needs, identify readmission risks, patient strengths and needs related to transition and discharge planning; collaborate and communicate with multidisciplinary team in all phases of discharge planning process, including initial patient assessment, planning, implementation, interdisciplinary collaboration, teaching, ongoing evaluation, and medical readiness for discharge. Oversee and coordinate complex medical discharge planning needs for assigned patients in collaboration with other interdisciplinary team members, assuring a safe discharge plan is developed and implemented in a timely manner; proactively identifies and resolves delays and obstacles to discharge. Collaborate with providers and all members of the multi-disciplinary team to manage the clinical resources and transition planning for patients within assigned caseload from admission through discharge, actively working to identify/eliminate barriers to deliver of services required to advance care and promote timely discharge based on medical readiness; facilitate the following on a timely basis: Completion and reporting diagnostic testing, Completion of discharge plan, Modification of plan of care, as necessary, to meet the ongoing needs of patient, Completion of all required documentation in APeX flowsheets and patient records Coordinate and lead multi-disciplinary rounds (MDRs) and monitor discharge milestones, assign accountability for tasks, and proactively identify and address/ escalate barriers to timely discharge when medically ready.
15	YES	Ensure that all elements critical to the plan of care have been communicated to the patient/family and members of the healthcare team and are documented as necessary to assure continuity of care. Consider age specific needs of the patient as appropriate and effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds.
15	YES	Refer appropriate cases for social work intervention For patients with significant or intensive psychosocial needs, serve as the secondary care manager, working in close collaboration with the social worker to bring nursing scope of practice and expertise to address the holistic needs of the patient.
15	YES	Monitor patients’ length of stay and collaborates with physicians to ensure resource utilization remains within covered benefits and are appropriate in relationship to the patient’s clinical and psychosocial needs. Initiate and facilitate referrals through the Resource Coordinators for post-acute care resources (i.e. home health care, SNF, rehab facilities, hospice, medical equipment and supplies). Oversee and direct activities delegated and performed by the Resource Coordinator and/or Patient Care Navigator.
10	YES	Participate in clinical performance/quality improvement teams within the department, service lines, and hospital to identify opportunities for improvement in such areas as clinical outcomes, length of stay management, and utilization of resources; use data to drive decisions and plan/implement performance improvement strategies related to case management for assigned patients, including fiscal, clinical and patient satisfaction data. Provide consultation and education to members of the healthcare team, hospital departments, service lines and community agencies and providers. Initiate and lead the development, implementation, evaluation and revision of clinical pathways and other case management tools as a member of the clinical resource/team. Participate in department program planning including goal setting, program development, systems development and improvement.Participates on department and hospital committees and task forces
5	YES	Demonstrate competency with work-required computer programs and incorporates use into daily work routine. Demonstrate the ability to interpret data and trends using appropriate analytical skills. Oversee and direct activities delegated and performed by the Support Liaison.
100%		(To update total %, enter the amount of time in whole numbers (without the % symbol - e.g., 15, 20) then highlight the total sum (e.g., 1%) at the bottom of the column and press F9. The total sum should add up to 100%.)

Budgeted Job Salary Range: 113.25

About the Company

UCSF

Public health sciences university in San Francisco

UC San Francisco is a public research university in San Francisco focused solely on health sciences, combining professional education with biomedical research and patient care. Its schools of dentistry, medicine, nursing and pharmacy train clinicians and scientists, while teams investigate cancer, immunology, genomics and neuroscience. UCSF Medical Center and Benioff Children's Hospitals connect clinical care with faculty research and training, and university clinics serve patients across Northern California. Founded in 1864, UCSF is the University of California campus dedicated to graduate and professional education and biomedical research, based in San Francisco.

Company size: 10,001+
Company stage: Not listed
Total funding: Not listed
Headquarters: Not listed
Founded: 1864

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