Job Summary:

The Case Manager is responsible for case management across the continuum of care utilizing an interdisciplinary approach to managing patient throughput in a fiscally responsible manner to achieve optimal outcomes.  Responsible for the coordination of care, utilization review, acting as a resource to patients, family and/or significant others and staff; referrals to clinical social worker for psycho-social issues and complicated discharge planning issues; overseeing coordination of post-hospital care needs; interacting with insurance companies, medical groups, and community resources to ensure timely, efficient use of all services. 

Licensure and Certification:

• Current CA RN license

• CMGT-BC certification preferred

• Current BLS provider card

Education:

• Diploma RN or BSN degree 

Experience:

• Two years as a Case Manager in a behavioral health inpatient setting and/ or three years acute care experience.

• Strong interpersonal skills, leadership, negotiation skills, good leadership talent, and knowledge of hospital operations. General knowledge of the payer industry, resource management, reimbursement, and evidence-based clinical practice is essential.

Knowledge and Skills:

• Develops, maintains, and models professional, objective and value-oriented interpersonal skills. Continuously promotes a patient-centered philosophy.

• Maintains positive and proactive communication with patients, families, staff members, and physicians.

• Fosters team-building relationships.  Excellent organizational skills and the ability to problem solve are essential.

Physical Demands - Clerical/Administrative Patient Care:

• Frequent sitting and standing/walking with frequent position change.
• Continuous use of bilateral upper extremities in fine motor activities requiring fingering, grasping, and forward reaching between waist and chest level.
• Occasional/intermittent reaching at or above shoulder level.
• Occasional/intermittent bending, squatting, kneeling, pushing/pulling, twisting, and climbing.
• Occasional/intermittent lifting and carrying objects/equipment weighing up to 25 pounds.
• Continuous use of near vision, hearing and verbal communication skills in handling telephone calls, interacting with customers and co-workers and performing job duties.