SRS - Case Manager - Population Health -Copley – Full Time – Day Shift

Hours:

Shift Start Time:

8 AM

Shift End Time:

4:30 PM

AWS Hours Requirement:

8/40 - 8 Hour Shift

Additional Shift Information:

option to work set schedule of 0730-1600

Weekend Requirements:

No Weekends

On-Call Required:

No

Hourly Pay Range (Minimum - Midpoint - Maximum):

$62.230 - $80.300 - $89.930

 

The stated pay scale reflects the range that Sharp reasonably expects to pay for this position.  The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. 

 

What You Will Do
Timely and appropriate coordination of quality healthcare services to meet an individual's specific health needs in a cost-effective manner to promote positive outcomes. Involves a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's healthcare needs through communication and available resources. Addresses care that is client centered, with mutual goals, allowing stewardship of resources for the client and healthcare system.

Required Qualifications

• 5 Years Acute care or clinical experience in area of specialty.
• 2 Years Utilization/Case Management experience, preferably in a Managed Care setting.
• California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED
• AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED

Preferred Qualifications

• Bachelor's Degree in Nursing or in health related field.
• Certified Case Manager (CCM) - Commission for Case Manager Certification -PREFERRED

Essential Functions

• Data collection
  Performs a thorough, systematic, and objective evaluation utilizing standardized tools when appropriate and client involvement in the assessment process and encouraging the client opportunities to communicate and collaborate with the case manager and healthcare team.
  Assessment information is obtained by interviewing the client/family, the primary care physician/provider and/or physician specialists, other members of the healthcare team and other appropriate individuals.
  Assessment should include the following components: physical/functional, psychosocial/behavioral, environmental/residential, family dynamics/support/caregiver capability and availability, spiritual/cultural, financial, learning capabilities/self care, health status expectations/goals, vocational/educational, transitional or discharge plan, and risk management.
  Evaluates objectively and critically all information related to the current and/or proposed treatment plan, potential barriers, goals and objectives, and care alternatives for client.
  Initial assessment is completed within 24 hours of admission per guidelines.
  Assess client healthcare needs and appropriate utilization of services by applying InterQual criteria and/or established and/or established organizational or payer guidelines within 24 hours of admission utilizing the first 12 hours of data to complete admission review.
  Documents assessment and IQ/guideline review data per department standards.
• Demonstrate and maintain adherence to performance indicators
  Demonstrate and maintain adherence to performance indicators while performing services within scope of Case Management (CM) practice.
  Adhere to Case Management performance indicators identified as quality of care, qualifications, collaboration, legal, ethical, advocacy and resource management.
  Work within established standards for healthcare and case management practice and professional discipline.
  Achieve and maintain current professional licensure/certification in case management or in a health services profession directly related to individual's case management practice.
  Maintains continuing competence appropriate to Case Management and professional licensure/certification.
  Provide only those case management services qualified to provide and refer to other sources for services outside case management scope of practice.
  Practices in accordance with applicable local, state and federal laws.
  Knowledge and understanding of applicable accreditation and regulatory statues.
  Practices will be guided by ethical principles governing individual professional licensure/certification. Advocate both for client and payer to facilitate outcomes, however,