Job Summary The Clinical Case Manager facilitates the integration and coordination of major aspects of utilization review and discharge planning for patient needs. The focus of this position is Pediatric both acute and rehab patients and requires a high level of clinical judgment, problem-solving skills, creativity, organizational and priority setting abilities, with excellent communication skills. Critical aspects of the role involve the assessment of clinical information to determine medical necessity for the identified level of care, assessment for appropriate services needed and resources available, and to facilitate the coordination of both internal and external health care providers to ensure optimal continuity of appropriate and cost-effective care.

The Clinical Case Manager is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay, and create a safe discharge plan.

Apply By Date

05/27/2024 at 11:59pm

Minimum Qualifications

Valid California Registered Nurse License without restriction.

• Minimum of one (1) year recent experience in Case Management either Utilization Review and/or Discharge Planning in an acute hosptial.
• Graduation from an accredited school of nursing. BSN preferred.
• Knowledge of Medicare, MediCal, and HMO legislation; third party payor contracts; Title XXII; the Joint Commission. Demonstrated knowledge of how these programs/regulations affect the functions and role of the department. Demonstrates the ability to incorporate them into departmental systems/processes.
• Knowledge of professional and ethical standards related to Clinical Case Management such as the Nursing Practice Ace, the Codes of Ethics from the American Nurses Association and the Standards of Practice & Scope of Services by the American Case Management Association.
• Ability to read and comprehend English text and medical terminology; knowledge of medical and nursing treatment plans, levels of care, and area resources; skill in assessing the appropriateness of medical admissions and continued stay.
• Skill to perform in-depth chart analysis to provide accurate information in a concise, informative manner, identify/analyze problems or issues related to areas of responsibility, developing an appropriate plan, and considering medical needs and resources available.

Preferred Qualifications

• Bachelor Degree of Science in Nursing (BSN)

Department Description

The Clinical Case Management department has the responsibility of hospital-wide Utilization Review and Discharge Planning, TAR (Treatment Authorization Request) and Transfer Center.

Position Information

• Salary or Pay Range: $65.90 - $96.53
• Salary Frequency: Hourly
• Salary Grade: 105
• Payroll Title: CASE MGR NEX
• Number of Positions: 1
• Appointment Type: Career
• Percentage of Time: 100%
• Shift Hours: 8:30 am - 5:00 pm
• Location: Medical Records Building
• Union Representation: Yes
• Benefits Eligible: Yes
• Hybrid/Remote/On-Site: On-Site

Benefits

Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis Health offers a full range of benefits, resources and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial and career goals. Learn more about the benefits below and eligibility rules by visiting our handy Benefits Summary and our Benefits Page

• If you are represented by a union, benefits are negotiated between the University of California (UC) and your union and finalized in a contract. Read your bargaining unit's employment contract, stay abreast of current negotiations and learn about collective bargaining at UC: https://ucnet.universityofcalifornia.edu/labor/bargaining-units/index.html
• High quality and low-cost medical plans to choose from to fit your family's needs
• UC pays for Dental and Vision insurance premiums for you and your family
• Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave
• Paid Holidays annually as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement.
• Paid Time Off/Vacation/Sick Time as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement.
• Paid time off for professional development as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement.
• Continuing Education (CE) allowance and Education Reimbursement Program as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement.
• Access to free professional development courses and learning opportunities for personal and professional growth
• WorkLife and Wellness programs and resources
• On-site Employee Assistance Program including access to free mental health services
• Supplemental insurance offered including additional life, short/long term disability, pet insurance and legal coverage
• Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program for qualified roles
• Retirement benefit options for eligible roles including Pension and other Retirement Saving Plans. More information on our retirement benefits can be found here
• UC Davis cares about building a community, which is why we provide resources to enhance diversity, equity and inclusion as well as Employee Resource Groups (ERGs) to support our staff

Physical Demands and Work Environment

• Has mandatory reporting responsibilities for domestic violence, child abuse and elder/dependent abuse.
• Ability to safely lift 25 pounds and assist in moving patients, and to stand on feet over extended periods
• Works overtime as defined by the collective bargaining agreements, floats to other areas and works weekends and holidays References reflect an overall meet or exceeds.

Special Requirements

• This position is a critical position and subject to a background check and drug screen. Employment is contingent upon successful completion of background investigation including criminal history, identity checks and drug screen.
• As a condition of employment, you will be required to comply with the University of California Policy on Vaccination Programs, as may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements.

Diversity, Equity, Inclusion and Belonging

At UC Davis, we're solving life's most urgent challenges to bring a fuller, healthier, and more resilient world within reach. We grow from every challenge we take on and we don't just maintain - we improve. We recognize that creating an inclusive and intellectually vibrant organization means understanding and valuing both our individual differences and our common ground. The most comprehensive solutions come from the most diverse minds, and you belong here. As you consider joining UC Davis, please explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education, and our latest efforts to outgrow the expected. The University of California, Davis is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.

For the University of California's Affirmative Action Policy please visit: https://policy.ucop.edu/doc/4010393/PPSM-20.

For the University of California's Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination.

Because we want you to be seen, our recruiting process at UC Davis fosters authenticity, diversity, and inclusion. Studies have shown that some people may not apply to jobs unless they meet every single qualification. Each unique role at UC Davis has a set of requirements and you could be perfect for this role, or you could be perfect for the next role! Don't meet all the requirements? We still encourage you to apply! #YouBelongHere