Job - Clinical Case Manager - Surgery Services

UCLA HEALTH - Los Angeles, California

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Clinical Case Manager - Surgery Services

UCLA HEALTH - Los Angeles - CA Careers Responsibilities
Responsibilities

The Case Manager is responsible for utilizing advanced practice nursing skills in the assessment, education, and coordination of care for an identified group of patients. · Collaborates and consults with the multi-disciplinary team, including but not limited to Physicians, Nursing, Ancillary, Professional, Technical, other clinical and/or department team members along with patients and families to ensure safe and effective coordination of care. · Assesses, coordinates, develops and implements individualized care plans utilizing evidence based tools for risk stratification to ensure delivery of safe, high quality, efficient, and cost-effective care. · Performs Utilization Review functions using standardized practice tools to guide billing and level of care practices. · Assures the delivery of concurrent and post-hospital care through initiation of referrals, coordination of resource utilization, and evaluation of post-acute care services. · Effectively manage the post-acute referral process through the continuum of care to ensure safe discharge. · Participate in performance improvement projects/processes and other duties as assigned

Qualifications

RN required; BSN required, MSN preferred.
Minimum of three years of acute pediatric hospital experience; or the equivalent of education and experience.
Recent experience in case management, utilization management (preferred), and discharge planning.
Team leading or management experience. Self-directed, assertive and creative in problem solving, systems planning and patient care management in a high volume work environment. Demonstrates resourcefulness, effective written and oral communication, diplomacy, organizational, and analytical skills (Required). Ability to work effectively and collaboratively with interdisciplinary teams. Basic working knowledge of a large University teaching hospital; its purpose and functions.

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