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Case Manager (RN) - Inpatient

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Stanford Health Care

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Location:
United States , PALO ALTO

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Category:
Nursing

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Contract Type:
Employment contract

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Salary:

92.64 - 106.87 USD / Hour
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Job Description:

Case Managers are licensed nursing professionals responsible for coordinating continuum of care and discharge planning activities for a caseload of assigned patients. Major responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services; and ensuring optimum use of resources, service delivery, and compliance with external review agencies' requirements. Case Managers act as consultants to the clinical team, service lines, and other departments regarding patient assessment and patient care and participate in program development and quality improvement initiatives.

Job Responsibility:

  • Coordination of Care — Complex case manager who manages each patient's transition through the system and transfers accountability to the appropriate person upon entry into another clinical service or discharge
  • Discharge Planning — Coordinates and facilitates timely implementation of discharge plans for assigned patients with complex needs in collaboration with other interdisciplinary team members
  • arranges follow up care as appropriate
  • Utilization Review – Review prospectively, concurrently and retrospectively, all inpatients for appropriateness of admission, level of care, and determines appropriate length to stay
  • 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
  • Education/Consultation- Acts as an educational resource and provides consultation to patients and their families, hospital medical personnel regarding the discharge planning process and applicable regulatory requirements
  • Lead Work- May lead the work of administrative/clinical support staff responsible for assisting with case management for an assigned patient caseload
  • Other - Participates in department program planning, goal setting, systems development and process improvement
  • Patient Assessment / Plan of Care- Functions as a resource to and collaborates with physicians, social workers, nurses, and other interdisciplinary team members to assess, plan, and coordinate patient care needs and/or performs patient assessment and develops a plan of care
  • Quality Improvement -- Participates in quality improvement activities by identifying opportunities for improvement in such areas as clinical outcomes, utilization of resources and concurrent data collection
  • Third-Party Reimbursement -- Collects, analyzes reports and reviews patient information with third-party payers to assure reimbursement for patient services/procedures

Requirements:

  • Bachelor's Degree from an accredited college or university required
  • Master's Degree preferred
  • Three (3) years of progressively responsible and directly related work experience required
  • CA-RN (Registered Nurse) required

Additional Information:

Job Posted:
May 06, 2026

Employment Type:
Fulltime
Work Type:
On-site work
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