Clinical Case Manager - Oncology - Sharp Grossmont Hospital - FT - Days

Clinical Case Manager

Shift Start Time: 8 AM

Shift End Time: 4:30 PM

AWS Hours Requirement: 8/40 - 8 Hour Shift

Weekend Requirements: No Weekends

On-Call Required: No

Hourly Pay Range (Minimum - Midpoint - Maximum): $53.570 - $69.120 - $77.410

The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.

The Clinical Case Manager's (CCM) role is to be a patient advocate providing patients and their families with a point of care approach, and guiding them through the healthcare system providing information regarding services, education, funding and access to care. The Case Manager ensures service access and meets community care needs through quality assessment, triage, service delivery, and care coordination of clinical services between key external constituencies and Sharp. To represent the Sharp Health Care continuum to the public and health care community improving service linkages, maximizing care continuity and satisfaction. To support the Sharp HealthCare system in multi-service referral, program development, and quality care management. The CCM will develop strong relationships with physicians, their office staff, community clinics and healthcare providers to assure that there are multiple options for patients and are provided excellent care. The Clinical Case Manager will be responsible for collecting data regarding patient referrals, quality outcomes and reporting to oversight committees and organizations. The primary purpose of the CCM is to reduce anxiety and frustration with coordinating care and improve patient satisfaction with the health care systems. The Case Manager will facilitate more efficient and cost effective use of health care resources.

Required Qualifications

• Bachelor's Degree in Nursing
• 3 Years acute care clinical experience in area of specialty.
• Previous clinical experience with cancer care, case management or patient teaching.
• Experience facilitating the design, implementation and evaluation of health care promotion programs and/or community development.
• California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED
• AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED

Preferred Qualifications

• Master's Degree in Nursing
• Certified Case Manager (CCM) - Commission for Case Manager Certification -PREFERRED

Essential Functions

• Build RelationshipsIdentify personnel in departments involved in the care of oncology patient's including: physicians, nurses, imaging, social services, radiation oncology hematology/oncology and obtain cooperative referral sources.Establish excellent communication to assist with data collection and follow up care.Facilitate interaction and communication with health care staff and providers.Represents Sharp HealthCare when in contact and/or collaboration with professional organizations within the community.
• Community Outreach ActivitiesFormulate relationships with members of the community by visiting churches, synagogues, schools, libraries to increase cancer awareness and involvement in community programs.Coordinate or conduct cancer health education classes with individuals and groups.Identify target population by utilizing community service data for at high risk persons for under-utilization of oncology health services.
• Implements Plan of CareKnowledge of services available from outside oncology funding sources.Refers to internal resources of the hospital that can assist patients and families.Refers to basic community resources.Provides referrals to patients/families for ongoing assistance.Encourages patients and family participation in the decision making process.Protects patient privacy by maintaining confidentiality.
• LeadershipDemonstrates excellent communication and team building skills.Perceived by other health care workers as approachable when assisting in the achievement of established goals and objectives.Continually strives to suggest and implement ways to improve personal, departmental and institutional performance.Establishes and accomplishes a minimum of two professional goals each year. (Goals to be determined by case manager and director).Promotes self-awareness and knowledge of current medical standards in the community, recent innovations in patient care and availability of alternative venues and options for care.Maintains active membership with professional organizations. Enhances clinical skills through continuing education, obtains and maintains specialized skill certifications. Participates in conferences concerning ongoing evaluation of multidisciplinary dynamics, goal attainment, and implementation of treatment plans.Presents in-services and other vehicles for education for patients/families and hospital staff.
• Patient AdvocateAssesses the patient's physical and psychosocial status, diagnosis, and treatment plan to ensure appropriateness.Demonstrates excellent communication skills with patients and families.Utilizes the nursing process and a critical thinking approach to provide patient care that incorporates the mind, body, and spirit and is individualized and goal directed.Initiate communication with patients upon learning they have a suspicious diagnostic testing or positive finding.Assist with scheduling appointments, arranging transportation and assuring follow up care.Provide education and access to community support.Provide financial coaching and/or assist patient and family with opportunities for funding or financial support.Serves as a liaison between health care professionals, the patient and family to facilitate and coordinate treatment plan.Assess the emotional needs of patients and their families and provide support and/or mechanism to find answers to their questions or concerns and the ability to make healthcare decisions.
• Regulatory ComplianceKnowledge of the standards and requirements of accreditation body.Data collection skills.Computer skills related to data collection, report development and patient information privacy policies.Oncology Advisory and Breast Committee membership.Develops and implements programs and policies to meet standards.Reports progress, effectiveness and changes to Advisory Board quarterly.
• TeamworkConsult with team members in development of referrals and resource recommendations.Maintains on-going communication with multi-disciplinary team members regarding patients' status and follow-up.Documents consultation, recommendations, and interventions.
• Time ManagementAble to prioritize patient, family, physician and staff needs.Communication to supervisor any assistance that is needed in a timely manner.Collection of data as needed for studies.
• Track Patient Referrals and Quality OutcomesDevelop a database to track patients, interventions and their outcomes.Utilize data in the evaluation and improvements of the cancer care and Case Management Program.Report program progress and effectiveness on an annual basis.

Knowledge, Skills, and Abilities

• Advanced clinical skills and in depth knowledge in area of expertise.
• Able to be innovative and creative in order to develop strategies that successfully meet the needs of diverse patient, family and provider populations.
• Demonstrate competence in team building, conflict management and interpersonal effectiveness.
• Strong communication and interpersonal skills building relationships with physicians.
• Understanding of performance improvements and research methodologies.
• Excellent computer application skills and database management.
• Excellent written and spoken communication skills required.

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class.