Case Manager

2 weeks ago

Redlands, United States Loma Linda University Health Full time

Job Summary: The Case Manager 2-BMC performs a variety of case management duties, thus assuring proper utilization providing maximum quality of patient care. Serves as a resource for staff in the area of Joint Commission standards and those of private utilization review agencies. Responsible for clinical evaluation and disposition of patients referred to the Loma Linda University Behavioral Medicine C enter. Coordinates contact with the appropriate clinical, hospital and community resources. Coordinates with clinicians and hospital staff to facilitate hospital admissions. Performs other duties as needed.

Education and Experience: Associate‘s Degree in Nursing required. Bachelor‘s Degree in Nursing preferred. Minimum one year of psychiatric, utilization review or quality assurance experience preferred.

Education and Experience: Bachelor of Science Degree in nursing required. If hired prior to January 1, 2018, Bachelor‘s degree may be in progress, or, an Associate‘s Degree in nursing with a Bachelor‘s degree in another field and a Master‘s Degree in nursing required. If hired prior to January 1, 2018, Master‘s Degree may be in progress. Minimum of three years nursing experience in area of specialty in a facility with an equivalent patient acuity level required. Minimum of one year of prior management or supervisory experience preferred.

Knowledge and Skills: Ability to speak clearly in person and over the phone; ability to write clearly and concisely; ability to listen well and interact appropriately with patients, visitors, employees and outside agencies; ability to input data into computer. Must have diplomacy and tactfulness; must possess skills in negotiating, telephone usage, and written and verbal communication. Ability to work as a team member. Ability to develop positive therapeutic interactions with patient, patient families, coworkers, supervisors, medical staff and outside agencies; maintains calm demeanor in crisis situations; communicates clearly and effectively. Ability to maintain confidentiality. Ability to assess patients‘ conditions, interpret care plan, comprehend appropriate interventions, evaluate patient response to care, teach patients and families; requires higher level mental faculties accompanied by short and long-term memory; ability to concentrate on several assignments simultaneously, ability to organize and prioritize; ability to work with limited supervision; ability to execute duties in an efficient manner with attention to detail, ability to receive and accurately carry out instructions. Good problem-solving skills with attention to details; ability to analyze and interpret data; requires analytical thinking skills accompanied by short and long-term memory; ability to work independently with minimal supervision. Excellent usage of English language and grammar. Knowledge of psychotropic medications. Knowledge of appropriate age group(s). Knowledge of Joint Commission, C MS and private payor guidelines and regulations.

Knowledge and Skills: Basic knowledge of healthcare regulations and survey process required. Demonstrates advanced competencies in clinical nursing, leadership, supervision, management and communications skills required. Exhibits professional behavior at all times. Ability to apply theoretical concepts to clinical practice and continually expands knowledge base and clinical skills with a focus in specialty. Able to read and write legibly in English (and Spanish preferred) with professional quality; use computer, printer, and software programs necessary to the position, e.g., Word, Excel, Outlook, PowerPoint, electronic medical record, electronic event reporting program; relate and communicate positively, effectively, and professionally with others; be assertive and consistent in following and/or enforcing policies; work calmly and respond courteously when under pressure; lead, supervise, teach, and collaborate; accept direction; think critically; work independently with minimal supervision; perform basic math and statistical functions; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; distinguish colors and smells as necessary for patient care; hear sufficiently for general conversation in person and on the telephone; identify and distinguish various sounds associated with the work place/patient care; see adequately to read computer screens, medical records, and written documents necessary to position; discern temperature variances through touch.

Licensures and Certifications: Active California Registered Nurse (RN) license required. Basic life Support (BLS) certification through the American Heart Association required. Other certifications as outlined in the department Plan for Providing Care.



Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness.

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