Description
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Day - 10 Hour (United States of America)
ED Day Shift hours are 6:30am-5pm with rotating weekends
Why work at Stanford Medicine | Stanford Health Care (SHC)?
We seek a full-time, night shift RN Case Manager to work in ED/CDU/Observation. If you have case management experience within Emergency, this could be a great career opportunity for you.
Our RN Case Managers work with multidisciplinary teams.
Become part of a team that has been able to influence and direct the continuity of patient care.
The $10,000 signing bonus is available for new hires. Current and former SHC employees are not eligible for this signing bonus.
Benefits begin the first day of the month following employment eligibility.
Our core benefits include medical insurance, dental insurance, vision insurance, an employee assistance program, savings and spending accounts, disability, life and accident insurance, and COBRA. For medical insurance, you have the choice of three generous health plans through Stanford Health Care Alliance, Aetna, or Kaiser Permanente. Each plan includes 100% coverage for preventive care, telemedicine through Teledoc, prescription drug coverage, and behavioral health coverage. Additional incentives exist for healthy choices. And so much more - generous leave & time off, Wellness Program, special programs, educational assistance, and adoption assistance!
**This is an onsite Stanford Health Care job.**
**A Brief Overview**
Case Managers are licensed nursing professionals responsible for coordinating continuum of care and discharge planning activities for a caseload of assigned patients. Major responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services; and ensuring optimum use of resources, service delivery, and compliance with external review agencies' requirements. Case Managers act as consultants to the clinical team, service lines, and other departments regarding patient assessment and patient care and participate in program development and quality improvement initiatives. In their role, Case Managers, by applying guidelines and collaborating with multidisciplinary teams, influence and direct the delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure the most appropriate use of services by patients and, toward that end, to avoid duplication and misuse of medical services, control costs by reducing inefficient services, and improve the effectiveness of care delivery. Objectives are to facilitate timely discharge; prompt, efficient use of resources; achievement of expected outcomes; collaborative practice; coordination of care across the continuum; and performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care practice in that it is not intended to provide direct patient care; rather, a Case Manager will be assigned to specific patients to ensure that the medical services and treatments required are accomplished in the most financially and clinically efficient
manner.
**Locations**
Stanford Health Care (Palo Alto, CA; onsite)
**What you will do**
Coordination of Care -- Manages each patient's transition through the system and transfers accountability to the appropriate person upon entry into another clinical service or discharge. Discharge Planning - - Coordinates and facilitates timely implementation of discharge plans for assigned patients with complex needs in collaboration with other interdisciplinary team members; arranges follow up care as appropriate.
Education/Consultation -- Acts as an educational resource and provides consultation to patients and their families, hospital medical personnel regarding the discharge planning process and applicable regulatory requirements; educates the staff on case management; and provides specific information related to case types.
Lead Work -- May lead the work of administrative/clinical support staff responsible for assisting with case management for an assigned patient caseload.
Other -- Participates in department program planning, goal setting, systems development and process improvement; participates in department and hospital committees and task forces; develops and maintains documentation of findings, discharge arrangements, and actions taken according to departmental guidelines; prepares and maintains records as required; collects, analyzes and reports on data for utilization, quality improvement, compliance, and other areas as assigned.
Patient Assessment / Plan of Care -- Functions as a resource to and collaborates with physicians, social workers, nurses, and other interdisciplinary team members to assess, plan, and coordinate patient care needs and/or performs patient assessment and develops a plan of care to assure consistent, timely, and appropriate care is provided in a patient-focused manner.
Quality Improvement -- Participates in quality improvement activities by identifying opportunities for improvement in such areas as clinical outcomes, utilization of resources and concurrent data collection; participates in clinical process improvement teams within the department, service lines, and hospital.
Third-Party Reimbursement -- Collects, analyzes reports and reviews patient information with third-party payers to assure reimbursement for patient services/procedures. Communicates with review organizations / payers to provide requested clinical and psychosocial information to assure reimbursement.
Utilization Review -- Reviews prospectively, concurrently and retrospectively all inpatients for appropriateness of admission, level of care, and determines appropriate length of stay. Monitors patients' length of stay and collaborates with physicians to ensure resource utilization remains within coveredbenefits and are appropriate in relationship to the patient's clinical and psychosocial needs; plans and implements (through multi-disciplinary meetings or rounds) strategies to reduce length of stay, reduce resource consumption, and achieve positive patient outcomes analyzes and addresses aggregatevariances as well as variances from individual patients and shares this information with staff, physicians, and administration.
**Education Qualifications**
Bachelor's degree in nursing from an accredited college or university
**Experience Qualifications**
Three (3) years of progressively responsible and directly related work ex
Compensation Information:
$0.0 / - $0.0 /
Starting At: 0.0
Up To: 0.0
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