Lucile Salter Packard Children's Hospital at Stanford
Manager - Case Management
Lucile Salter Packard Children's Hospital at Stanford, Palo Alto, California, United States, 94306
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.
Job Summary: This paragraph summarizes the general nature, level and purpose of the job. Plans, organizes, manages, evaluates and provides overall administration, direction, and management of the staff and day-to-day activities of Case Management/Utilization Review.
Essential Functions
Acts as a consultant to the clinical team, service lines and other departments, and participates in program development and quality improvement initiatives. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs. Advises the Director on the various needs of the Case Management and Utilization Review function, such as staffing needs, supplies, equipment, space and other resources needed to meet patient and staff needs. Develops and maintains an effective system of information, records and reports for assigned department(s) utilizing appropriate manual or electronic systems. Continuously assesses and improves department's performance based on customer needs; manages and participates in improving performance and services which benefit staff, patients and other customers. Effectively maintains appropriate quality improvement and control programs in response to staff and patient feedback, internal standards of care and external requirements. Leads and participates in program planning, identifying Case Management and utilization review needs, and resolving problems. Monitors patients' length of stay and collaborates with physicians to ensure resource utilization remains within covered benefits and are appropriate in relationship to the patient's clinical and psychosocial needs. Qualifications
Minimum Qualifications: Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Bachelor's Degree in Nursing from an accredited college or university. Five (5) years of progressively responsible and directly related work experience Registered Nurse by California Board of Registered Nursing 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 make effective oral presentations and prepare concise written reports to a variety of audiences 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. Knowledge of applicable hospital policies, rules and regulations; requirements and standards of external accrediting and regulatory organizations; statutory requirements, including HIPAA; contemporary medical issues and health trends. 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. 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.
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Acts as a consultant to the clinical team, service lines and other departments, and participates in program development and quality improvement initiatives. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs. Advises the Director on the various needs of the Case Management and Utilization Review function, such as staffing needs, supplies, equipment, space and other resources needed to meet patient and staff needs. Develops and maintains an effective system of information, records and reports for assigned department(s) utilizing appropriate manual or electronic systems. Continuously assesses and improves department's performance based on customer needs; manages and participates in improving performance and services which benefit staff, patients and other customers. Effectively maintains appropriate quality improvement and control programs in response to staff and patient feedback, internal standards of care and external requirements. Leads and participates in program planning, identifying Case Management and utilization review needs, and resolving problems. Monitors patients' length of stay and collaborates with physicians to ensure resource utilization remains within covered benefits and are appropriate in relationship to the patient's clinical and psychosocial needs. Qualifications
Minimum Qualifications: Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Bachelor's Degree in Nursing from an accredited college or university. Five (5) years of progressively responsible and directly related work experience Registered Nurse by California Board of Registered Nursing 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 make effective oral presentations and prepare concise written reports to a variety of audiences 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. Knowledge of applicable hospital policies, rules and regulations; requirements and standards of external accrediting and regulatory organizations; statutory requirements, including HIPAA; contemporary medical issues and health trends. 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. 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.
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