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Case Manager

Company: Dignity Health
Location: glendale
Posted on: May 3, 2021

Job Description:

Overview

Founded in 1926, Glendale Memorial Hospital and Health Center is a 334-bed, acute care, nonprofit, community hospital located in Glendale, California. The hospital offers a full complement of services, including its award winning heart center, the colorectal surgery institute, a gastrointestinal program, and is a Los Angeles County approved primary stroke center. The hospital shares a legacy of humankindness with Dignity Health, one of the nations five largest health care systems. Visit for more information.

Responsibilities

The incumbent is responsible for assessing, planning, facilitating and advocating for options and services through a continuum of care from admission to discharge for assigned patients. The incumbent performs the above in such a manner as to meet the individuals health needs in order to promote quality and cost-effective outcomes. The positions emphasis will be on care coordination and positive partnerships with nursing, physicians, and other key disciplines in order to pace the care toward optimal outcomes within the appropriate level of care. The incumbent will advocate for the patient and family by identifying and valuing patient choices, spiritual needs, cultural, language and socioeconomic barriers. In addition, the incumbent will protect confidentiality while striving to achieve high levels of patient satisfaction and facilitating patient centered care by supporting effective communication and collaborative relationships within the interdisciplinary team and with patient and family interactions. The incumbent will consistently apply the utilization review process as required by the Code of Federal Regulations including the use of the CHW designated criteria for primary review. The incumbent will also incorporate into the utilization review process the ability to access and interpret clinical information against the designated review criteria to reach correct admission status determinations. The incumbent will review clinical documentation to assess the accuracy, specificity, and completeness of physician clinical documentation and to identify if clinical findings suggest the presence of other conditions that are not explicitly documented. Primarily Weekends.

Qualifications
  • Three years nursing experience in an acute care hospital required
  • One year case management in an acute care hospital preferred Working knowledge of the RN scope of practice, current state requirements, CMS Conditions of Participation, EMTALA, Patient Bill of Rights, AB1203 and other federal or state regulatory requirement as specific to Utilization Review and Discharge Planning required Certification appropriate for the position preferred (CCM, ABQAURP or ACM)
  • Fluency in English verbal and written skills, working knowledge of Microsoft Office suite and work related software required
  • Bilingual skills in other languages preferred
  • Current California nursing license required

Keywords: Dignity Health, Glendale , Case Manager, Other , glendale, Arizona

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