CASE MANAGER -casual Job Listing at Bakersfield Memorial Hospital in Bakersfield, CA

Healthcare

About This Position

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 Dignity Health 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. 5 years acute care hospital experience required, 5 years CM experience preferred, Interqual knowledge preferred. Bachelors degree from a school of nursing 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. CA RN and BLS certification, AHA required.

About Us

Founded in 1956, Bakersfield Memorial Hospital was created to meet the needs of our community, and has grown from a small local facility to a large regional hospital serving all of Kern County. Today, we have more than 400 general acute beds, nearly 50 intensive care and cardiovascular recovery units, 13 state-of-the-art surgical suites, a full-service ER with nationally certified Stroke Center and the Central CA Heart Institute. In addition, we offer newly expanded birthing suites, a family care center, a 31 bed NICU, a 20 bed Pediatric unit, a full complement of diagnostic laboratory and imaging services and an outpatient surgery center. Other programs of note include our Women"s Services and a Center for Wound Care and Hyperbarics. We are proud to say that we are an “Equal Opportunity Employer”.
“Bakersfield Memorial Hospital is now a tobacco-free campus.”