City of Hope Case Manager in Duarte, California
About City of Hope
City of Hope, an innovative biomedical research, treatment and educational institution with over 6,000 employees, is dedicated to the prevention and cure of cancer and other life-threatening diseases and guided by a compassionate, patient-centered philosophy.
Founded in 1913 and headquartered in Duarte, California, City of Hope is a remarkable non-profit institution, where compassion and advanced care go hand-in-hand with excellence in clinical and scientific research. City of Hope is a National Cancer Institute designated Comprehensive Cancer Center and a founding member of the National Comprehensive Cancer Network, an alliance of the nation’s leading cancer centers that develops and institutes standards of care for cancer treatment.
The Registered Nurse (RN)/Clinical Case Manager is a licensed professional who possesses scientific knowledge and professional/technical skills. In collaboration with the patient, caregiver, support person, health care team, payer, and post-acute providers the RN Case Manager effectively utilizes the Case Management process to communicate and facilitate patient care along the continuum through effective resource coordination.
The RN Case Manager serves as a patient advocate and promotes customer satisfaction. The RN Case Manager is responsible for orienting and mentoring others to unit/department activities and may serve as a preceptor. In addition, the RN Case Manager may assume the role of the lead nurse for a given shift, as assigned. The RN Case Manager participates in departmental and organizational performance improvement activities and appropriately communicates findings.
Follows established City of Hope and department policies, procedures, objectives, performance improvement, attendance, safety, environmental, and infection control guidelines, including adherence to the workplace Code of Conduct and Compliance Plan. Practices a high level of integrity and honesty in maintaining confidentiality. Performs other related duties as assigned or requested.
Key Responsibilities include:
Provides accurate, reliable, courteous and timely service to all customers.
Coordinates the timely delivery of patient care that is consistent with professional practice standards including the ethical framework articulated by the American Nursing Association, American Case Management Association (ACMA), and the mission and values of City of Hope including, but not limited to:
Assessing and anticipation of patient needs through evaluation of clinical data, previous history, communication with patient, family, support person, caregiver, and identification of home and social support.
Evaluating the patient’s progress toward attainment of identified goals and appropriate modification and communication of the plan of care.
Having knowledge of age-appropriate care that ensures the comfort, personal and environmental safety of patients as they transition to home or placement in acute, sub-acute, rehabilitation or non-acute facilities.
Acting as liaison between hospital and payer in determination of appropriateness of admission and continued stay.
Serving as a resource for the inter-disciplinary health care team which includes collaboration with Admitting, Financial Clearance, Patient Access, Clinical Social Work, Patient Business Services, contracting, Pharmacy, ancillary services, and providers regarding payer reimbursement, covered services (including coverage limitations/restrictions) and post-acute care options.
Planning indirect care that promotes patient safety, through discharge planning referrals in collaboration with the patient, family/significant others, caregiver, providers, and post-acute care providers, as appropriate.
Ensures goals and post-acute care plan is developed based upon patient preferences.
Provides timely and comprehensive education regarding insurance determinations, covered services and limitations, and discharge plans to patients/families/caregivers/care team and appropriately disseminates information in a manner which supports language and literacy needs.
Oversees care for a defined group of patients and leads case management efforts among the multidisciplinary team. Actively participates in huddles, rounds, and outlier meetings.
Maintains current knowledge and awareness of organizational and regulatory standards, policies and procedures.
Participates in a collaborative, empowered work environment as demonstrated through teamwork and shared decision making processes.
Effectively communicates with all patients, family members, caregivers, providers, and team members to meet organizational goals and to provide customer satisfaction.
Maintains current knowledge and skills through attendance and participation in organizational and department meetings and continuing education activities. Dedicates no less than 30% of continuing education hours specifically to case management topics.
Demonstrates fiscal responsibility by appropriate and timely use of organizational resources.
Actively participates in performance improvement activities through data collection and/or participation in corrective action plans to continuously improve service delivery.
Demonstrates City of Hope values in individual work performance.
Basic education, experience and skills required for consideration:
Must have a Bachelor’s Degree in Nursing
Three years current clinical experience in area of expertise preferred
Must have a current and valid California Registered Nurse Licensure
Must have a current BLS Certification
Preferred education, experience, skills and certification:
2 years case management experience preferred
Case Management Training Course
Certification pay may apply.
This position is represented by a collective bargaining agreement.
City of Hope is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, or status as a qualified individual with disability.
Title: Case Manager
Requisition ID: 14652-TBE