Clinical Case Manager-International Services Details

UCLA Health - Los Angeles, CA

Employment Type : Full-Time

Responsibilities

As our Clinical Case Manager, you will facilitate and process new patient referrals, utilizing advanced nursing skills in the assessment and planning of clinical care for the international patient and other identified group of patients. Review patients’ medical conditions with their home country physicians to coordinate, clarify needs and expectations as well as to coordinate transfer of care back to home country physicians after receiving care at UCLA.

As our Clinical Case Manager, you will also coordinate with physicians, staff, and non-UCLA providers and facilities regarding patient care. Collaborate with Attending, Resident and Intern medical staff, as well as with Resource Planning, Nursing, ancillary, professional, technical and financial staff to coordinate delivery of high quality care, develop plans of care and discharge plans, monitor all clinical activities, make recommendations for alternative levels of care, as appropriate, identify cost-effective protocols, and develop guidelines for care. You will provide medical updates to embassy sponsors and other payers on a regular and as needed basis; perform appropriate utilization review functions and will concurrently intervene, when appropriate, to enhance patient quality outcomes.

Qualifications

  • RN required; BSN required, MSN preferred.
  • California nursing license
  • Demonstrated experience in acute care hospital or the equivalent of education and experience.
  • Recent experience in case management, utilization management, or discharge planning.
  • Team leading or management experience.
  • Clinical experience sufficient to understand and communicate medical diagnosis and courses of treatment to professional and non-professional personnel.
  • Demonstrated ability to understand and conduct a complex health intervention system.
  • Demonstrated knowledge of and experience with EPIC/CareConnect preferred.
  • Demonstrated experience of PC applications including Word, Outlook, Access, Excel required.
  • Knowledge of and/or experience with Salesforce CRM preferred.
  • Ability to work flexible hours to complete tasks and meet deadlines.

UCLA 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, or protected Veteran status.

Posted on : 2 years ago