Case Manager (RN) - Stanyan

UCSF•San Francisco, CA

3d•$85 - $115

About The Position

The Case Manager coordinates resources and services based on patients’ needs and fiscal realities, performs utilization review, and oversees complex discharge planning for an assigned caseload. As an active member of the interdisciplinary team, the Case Manager contributes to team goal setting, consults with clinical teams and other departments, and participates in program development and quality improvement. The position provides age-appropriate assessments, interprets data, and delivers interventions while working with patients across diverse backgrounds, beliefs, lifestyles, and conditions. It also provides day-to-day leadership support, including assisting with daily huddles and multidisciplinary rounds, conducting complex case reviews, supporting quality and documentation audits, and helping manage departmental operations. The role assesses patients, develops transition plans, facilitates safe and timely discharges, and collaborates with the multidisciplinary team. A reduced or adjusted caseload may be maintained as needed to support leadership and operational responsibilities.

Requirements

Bachelor’s degree in Nursing.
At least two years of previous healthcare-related experience.
One year of case management experience.
Active California Registered Nurse license.
Knowledge and abilities essential to successful performance of the assigned duties.
Resourcefulness, strong written and oral communication, diplomacy, organizational, and analytical skills.
Ability to work independently and assertively and use creative problem-solving in systems planning and patient care management in a high-volume environment.
Basic computer skills and proficiency with an electronic patient record.
Ability to work effectively and collaboratively with interdisciplinary teams.
Flexibility to orient and work at all UCSF Medical Center locations.

Nice To Haves

Recent experience in case management, utilization review, or discharge planning.
Master’s degree in Nursing or a healthcare-related field.
CCM or ACM certification.

Responsibilities

Provide day-to-day team leadership support, including assisting with daily huddles and multidisciplinary rounds, conducting complex case reviews, supporting quality and documentation audits, and helping manage departmental operations.
Coordinate care with the multidisciplinary treatment team to support care progression, optimize patient outcomes, and facilitate timely discharge when patients are medically ready.
Assess discharge needs and readmission risks; identify patient strengths and transition needs; and collaborate with the multidisciplinary team throughout assessment, planning, implementation, teaching, and evaluation.
Oversee complex medical discharge planning and ensure safe discharge plans are developed and implemented in a timely manner; identify and resolve discharge delays and obstacles.
Coordinate clinical resources and transition planning from admission through discharge, including diagnostic testing, discharge plans, modifications to the plan of care, and required documentation in APeX flowsheets and patient records.
Coordinate and lead multidisciplinary rounds, monitor discharge milestones, assign accountability for tasks, and identify, address, or escalate barriers to timely discharge when medically ready.
Communicate care-plan elements to patients, families, and healthcare team members and document as needed to ensure continuity of care.
Address patients’ age-specific needs and communicate effectively with patients, families, staff, and community members from diverse backgrounds.
Refer appropriate cases for social work intervention and serve as secondary care manager for patients with significant psychosocial needs, collaborating with social workers.
Monitor length of stay and collaborate with physicians to ensure resource use is appropriate to covered benefits and patients’ clinical and psychosocial needs.
Initiate and facilitate referrals through Resource Coordinators for post-acute resources, including home health care, skilled nursing facilities, rehabilitation, hospice, medical equipment, and supplies.
Oversee and direct activities delegated to Resource Coordinators and/or Patient Care Navigators.
Participate in clinical performance and quality improvement work, use clinical, fiscal, and patient-satisfaction data to identify improvement opportunities, and implement strategies for assigned patients.
Provide consultation and education to healthcare team members, hospital departments, service lines, community agencies, and providers.
Help develop, implement, evaluate, and revise clinical pathways and other case management tools; participate in department planning, goal setting, program and systems development, and committees or task forces.
Demonstrate competency with required computer programs, use them in daily work, and interpret data and trends using appropriate analytical skills.
Follow UCSF Medical Center service, communication, privacy, confidentiality, safety, and infection-control standards; support quality metrics and organizational and departmental targets.
Maintain neat and orderly work areas, follow cleaning processes, report broken equipment and unsafe conditions, dispose of litter, post materials only in designated areas, and protect the physical environment and equipment.
Perform other duties as assigned.