About City of Hope

City of Hope is an independent biomedical research and treatment organization for cancer, diabetes and other life-threatening diseases.

Founded in 1913, City of Hope is a leader in bone marrow transplantation and immunotherapy such as CAR T cell therapy. City of Hope’s translational research and personalized treatment protocols advance care throughout the world. Human synthetic insulin, monoclonal antibodies and numerous breakthrough cancer drugs are based on technology developed at the institution.  AccessHope™, a subsidiary launched in 2019 serves employers and their health care partners by providing access to City of Hope’s specialized cancer expertise.

A National Cancer Institute-designated comprehensive cancer center and a founding member of the National Comprehensive Cancer Network, City of Hope is ranked among the nation’s “Best Hospitals” in cancer by U.S. News & World Report and received Magnet Recognition from the American Nurses Credentialing Center. Its main campus is located near Los Angeles, with additional locations throughout Southern California and in Arizona.

City of Hope’s commitment to Diversity, Equity, and Inclusion

We believe diversity, equity and inclusion is key in serving our mission to provide compassionate patient care, drive innovative discovery, and advance vital education focused on eliminating cancer and diabetes in all of our communities.  Our commitment to Diversity, Equity and Inclusion ensures we bring the full range of skills, perspectives, cultural backgrounds, and experiences to our work -- and that our teams align with the people we serve in order to build trust and understanding.  We are dedicated to fostering a community that embraces diversity - in ideas, backgrounds, and perspectives; this is reflected in our work and represented in our people.

Position Summary

The Registered Nurse (RN)/Clinical Case Manager is a licensed professional who possesses scientific knowledge and professional/technical skills. In collaboration with the patient, caregiver, support person, health care team, payer, and post-acute providers the RN Case Manager effectively utilizes the Case Management process to communicate and facilitate patient care along the continuum through effective resource coordination.

The RN Case Manager serves as a patient advocate and promotes customer satisfaction. The RN Case Manager is responsible for orienting and mentoring others to unit/department activities and may serve as a preceptor. In addition, the RN Case Manager may assume the role of the lead nurse for a given shift, as assigned. The RN Case Manager participates in departmental and organizational performance improvement activities and appropriately communicates findings.

Key Responsibilities include:

• Provides accurate, reliable, courteous and timely service to all customers.
• Coordinates the timely delivery of patient care that is consistent with professional practice standards including the ethical framework articulated by the American Nursing Association, American Case Management Association (ACMA),  and the mission and values of City of Hope including, but not limited to:
  • Assessing and anticipation of patient needs through evaluation of clinical data, previous history, communication with patient, family, support person, caregiver, and identification of home and social support.
  • Evaluating the patient’s progress toward attainment of identified goals and appropriate modification and communication of the plan of care.
  • Having knowledge of age-appropriate care that ensures the comfort, personal and environmental safety of patients as they transition to home or placement in acute, sub-acute, rehabilitation or non-acute facilities.
  • Acting as liaison between hospital and payer in determination of appropriateness of admission and continued stay.
  • Serving as a resource for the inter-disciplinary health care team which includes collaboration with Admitting, Financial Clearance, Patient Access, Clinical Social Work, Patient Business Services, contracting, Pharmacy, ancillary services, and providers regarding payer reimbursement, covered services (including coverage limitations/restrictions) and post-acute care options.
  • Planning indirect care that promotes patient safety, through discharge planning referrals in collaboration with the patient, family/significant others, caregiver, providers, and post-acute care providers, as appropriate.
  • Ensures goals and post-acute care plan is developed based upon patient preferences.
• Provides timely and comprehensive education regarding insurance determinations, covered services and limitations, and discharge plans to patients/families/caregivers/care team and appropriately disseminates information in a manner which supports language and literacy needs.
• Oversees care for a defined group of patients and leads case management efforts among the multidisciplinary team. Actively participates in huddles, rounds, and outlier meetings.
• Maintains current knowledge and awareness of organizational and regulatory standards, policies and procedures.
• Participates in a collaborative, empowered work environment as demonstrated through teamwork and shared decision making processes.
• Effectively communicates with all patients, family members, caregivers, providers, and team members to meet organizational goals and to provide customer satisfaction.
• Maintains current knowledge and skills through attendance and participation in organizational and department meetings and continuing education activities. Dedicates no less than 30% of continuing education hours specifically to case management topics.
• Demonstrates fiscal responsibility by appropriate and timely use of organizational resources.
• Actively participates in performance improvement activities through data collection and/or participation in corrective action plans to continuously improve service delivery.
• Demonstrates City of Hope values in individual work performance.
• Performs other related duties as assigned or requested.

Basic education, experience, and skills required for consideration:

• Bachelor’s Degree in Nursing
• Three years current clinical experience in area of expertise preferred

Required Certification/Licensure:

• Current RN License
• BCLS Certification, through the American Heart Association

Preferred education, experience, and skills:

• Case Management Training Course
• ACM-RN,  CCM
• 2 years case management and utilization review experience preferred

Additional Information:

As a condition of employment, City of Hope requires staff to comply with all state and federal vaccination mandates.

• Shift: Day
• Job Status: Full-time
• This position is represented by a collective bargaining agreement
• Certification pay may apply

City of Hope is committed to creating a diverse environment and is proud to be an equal opportunity employer.  All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, or status as a qualified individual with disability.