Case Manager II - Utilization Management

MINIMUM QUALIFICATIONS

• Education: Bachelor's Degree in Nursing from an accredited college or university
• Experience: Two (2) years of progressively responsible and directly related work experience
• License/Certification:
• Registered Nurse by California Board of Registered Nursing
• Basic Life Support by American Heart Association (AHA) or RQI Healthcare Provider Basic Life Support
• KNOWLEDGE
• These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification.
• Ability to collect and record data, evaluate data and statistics, and maintain effective reporting systems. Ability to develop and perform patient assessment and plan of care. Ability to monitor and assure the patient's access to the appropriate level of care; the right health care providers; and the correct setting and services to meet the patient's needs; promote coordination and continuity in patient health care. Ability to provide age-appropriate assessments, interpretation of data, and delivery of interventions. Ability to provide appropriate patient care and clinical information when patients are admitted, referred, transferred, or discharged. Ability to remain knowledgeable regarding available treatments and services. Ability to resolve conflicts and/or negotiate with others to achieve positive results; establish and maintain effective interpersonal relationships. Ability to understand, interpret and apply complex federal and state hospital compliance laws, rules, regulations and guidelines. Ability to work effectively with individuals at all levels of the organization. Knowledge of available patient services and treatment. Knowledge of current theories, principles, practices, standards, emerging technologies, techniques and approaches in the nursing profession, and the health care system, and the responsibility and accountability for the outcome of practice. Knowledge of evaluation and assessment techniques. Knowledge of financial processes of various private and public funding sources for health care services/procedures. Knowledge of hospital operations, organization, systems and procedures and laws and regulations pertaining to the operation of hospitals in California. Knowledge of medical terminology and related levels of care and treatment. Knowledge of the full continuum of care available to patients, interrelationships of the care components, and their effective integration. Knowledge of the models of case management, including the principles and practices of discharge planning, utilization review, and quality assurance/improvement. Knowledge of the variables that affect the processes and outcomes of patient health care.
• PHYSICAL REQUIREMENTS
• The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.
• #LI-post
• Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $111.35 to $126.14
• Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
• At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P140091-2660347