Utilization Management Case Manager
Community Memorial Healthcare
Clinical Nurse Manager, PICU/Pediatrics
Community Memorial Healthcare
full-time
Posted on:
Location Type: Office
Location: Santa Barbara • California • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Provides clinical consultation and supervision to nursing personnel and other staff and participates in clinical operations and patient care activities within the unit
- Assures patient care is provided in accordance with organizational/system-wide accepted standards of care and practice
- Demonstrates effective management of staffing resources including appropriate skill mix and numbers of staff
- Models decision-making, collaboration and negotiation skills to maximize patient outcomes and resource utilization
- Participates in work process and system redesign, shared governance, and outcomes measurement activities
- Follows up on unusual occurrences or incidents involving patients, employees, equipment, or supplies
- Collaborates in identification, investigation and implementation of improvement opportunities related to professional/patient care practices and patient outcomes
- Utilizes quality improvement/problem solving knowledge in day-to-day operations and strategic planning
- Provides ongoing interpretation of financial and clinical data, analyzes population-specific data, establishes and monitors an annual budget, and guides decision-making to achieve financial goals
- Assures job descriptions are current, selects and orients staff, establishes competency expectations, and supports professional development
- Provides performance feedback, conflict resolution, fosters staff development, and promotes innovative care practices
- Establishes goal-oriented service philosophy, consensus building, resource allocation, and advocates change based on patient, family, physician, and staff needs
Requirements
- Bachelor’s of science degree in nursing (BSN)
- Master’s degree in a related field or degree in health care administration
- California Registered Nurse
- BLS and PALS from the American Heart Association (AHA)
- Three years of clinical nursing experience, with at least one year in pediatric critical care nursing
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
clinical consultationpatient carestaffing managementquality improvementfinancial analysisbudget managementperformance feedbackconflict resolutionclinical data interpretationpediatric critical care nursing
Soft skills
decision-makingcollaborationnegotiationresource utilizationstaff developmentgoal-oriented service philosophyconsensus buildingadvocacy for changeproblem solvingcommunication
Certifications
California Registered NurseBLSPALS