Access Case Manager

Santa Barbara Cottage Hospital seeks an Access Case Manager for their SBCH Care Management department responsible for utilization review, utilization management, and quality assurance activities for assigned areas of responsibility within the Cottage Health System. Additionally, the case manager will champion, engage, manage and monitor proactive communications and interventions by and between relevant stakeholders with regard to care management. Case management will work collaboratively and proactively with the medical staff, nursing staff and other disciplines to support and achieve the goals of the collaborative care process. Responsibilities include:

• Case managers will maintain a working knowledge of regulations and provider contracts governing coverage of inpatient services (i.e., Medicare, Medi-Cal, California Children Services, Genetically Handicapped People Program, Contracted Medical Groups). They will maintain and model interpersonal skills and productive relationships that allow for and support effective interaction with a wide variety of stakeholders.
• Case managers will consistently demonstrate professionalism and compassion with regard to human dignity, preserving and protecting client autonomy and rights and with respect for patient/family values and beliefs.
• Case management activities will result in quality outcomes, optimal care/cost management of services and/or procedures, a high level of customer satisfaction, and contribution to an overall value-oriented experience of stakeholders and persons served.

QUALIFICATIONS:

All job qualifications listed indicate the minimum level necessary to perform this job proficiently.

Education:

• Minimum: Associates Degree in Nursing (ADN).
• Preferred: Bachelor's Degree in Nursing (BSN).

Certifications, Licenses, Registrations:

• Minimum: Current California nursing license in good standing.
• Preferred: Certification in Case Management.

Technical Requirements:

• Minimum: Must be able to: demonstrate an understanding of InterQual criteria; differentiate between and determine appropriate admission classification, and; provide appropriate age specific case management services to persons served. Must demonstrate basic familiarity and competencies for computer systems. Must be able to manage basic online and support functions for assigned activities.

Years of Related Work Experience:

• Minimum: Minimum of two years direct patient care experience in an acute care setting. Other direct patient care experience may be considered.
• Preferred: Previous experience as a case manager in an acute care setting.