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The Clinical Case Manager Per Diem facilitates the integration and coordination of major aspects of utilization review and discharge planning for patient needs. This position 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 Per Diem must effectively communicate with both internal and external providers and health plans, as well as community resources, to optimize medically necessary services. The Clinical Case Manager demonstrates the ability to fulfill responsibilities through clinical assessment, accurate and sound judgment, application of standardized criteria, and maintaining professional communication. The goal of coordinated discharge planning and utilization is achieved by actively directing and involving members of the multi-disciplinary team, outside providers, community resources, and third party payors. The Clinical Case Manager Per Diem accurately maintains and tracks pertinent data and statistics specific to area of practice, such as delays in service, patients who lack medical necessity for acute hospital admission, denials for continued stays, and other factors affecting appropriate utilization of health system resources.
The Clinical Case Manager Per Diem is responsible to be current in the knowledge of Utilization Review regulations and trends. They must demonstrate the ability to fulfill responsibilities through clinical assessment, accurate and sound judgment, application of standardized criteria, and maintaining professional communication. Serves as a resource for physicians, staff and facility contacts in regard to utilization issues.
Apply By Date
(05/12/2024 at 11:59pm); Interviews and recruiting process will be ongoing until all positions are filled.
Minimum Qualifications
Department Description
The purpose of the Clinical Case Manager Per Diem is to support the interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates utilization management, care facilitation and discharge planning functions. In addition, the Clinical Case Manager helps drive change by identifying areas where performance improvement is needed (e.g., day to day workflow, education, process improvements, patient satisfaction). 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. Facilitation of the collaborative management of patient care across the continuum, completing utilization review around LOC and authorization concerns, and intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement.
Position Information
Benefits
Special 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 , our and for research and education, and our latest efforts to . 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.
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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
The University of California is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.Per Diem
$92k-111k (estimate)
07/20/2023
05/27/2024
The job skills required for Case Manager - Per Diem (CASE MGR PD) include Case Management, Patient Care, Health Care, Problem Solving, Acute Care, Confidentiality, etc. Having related job skills and expertise will give you an advantage when applying to be a Case Manager - Per Diem (CASE MGR PD). That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Case Manager - Per Diem (CASE MGR PD). Select any job title you are interested in and start to search job requirements.
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