Case Manager

3 weeks ago

Loma Linda, United States Loma Linda University Health Full time

University Hospital: Case Management (Full Time, Day Shift) -

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.

The Case Manager serves as a key member of the patient care delivery team in a Magnet Recognized large tertiary academic medical center with level one trauma designation, ST-Elevation Myocardial Infarction (STEMI) receiving center designation, and Comprehensive Stroke Center and Chest Pain Center accreditation. Works efficiently in a fast-paced environment and utilized clinical expertise, discretion and independent judgement in performing the nursing process (assessment, care planning, intervention, evaluation) within a patient-centered care professional practice model (Duffy's Quality-Caring Model) and as it relates to case management functions. Maintains a solid working knowledge of specialized case and utilization management methodologies and practices and applies concepts to everyday practice. Ensures medical appropriateness criteria (medical necessity) are met for level of care provided and is documented from admission through discharge. Practices in a collaborative health care environment to oversee implementation of a well-thought-out interdisciplinary plan of care with an individualized discharge plan that is comprehensive and best meets the continuing healthcare needs of the patient. Reevaluates plan of care and ensures continued appropriateness based on the patients changing needs and condition. Functions within the expectations of a professional nurse and meets nursing excellence standards to achieve and maintain Magnet Recognition as outlined by the American Nurses Credentialing Center. Represents nursing as an empowered profession and readily embraces new knowledge, innovations and improvements. Exhibits positivity and serves as an instrumental change agent and expertly minimizes resistance to change in the workforce, clinical practice and operational setting. Engages in opportunities to directly and/or indirectly influence decision-making for bedside clinical practice by participating in professional governance councils, committees, taskforces and staff meetings. Performs other duties as needed. and practices. Demonstrates ability to be an effective change-agent for implementation of new processes to achieve desired outcomes/performance measures. Performs other duties as needed.



Bachelor's Degree in nursing required. Minimum of one year of patient care experience required. Minimum of two years of Hospital Case Management or Utilization Management experience preferred. Active California Registered Nurse (RN) license required. Basic Life Support (BLS) certification issued by the American Heart Association required. Nationally recognized certification in Utilization Management or Case Management preferred.

Basic knowledge of case and utilization management practice and methodologies and state and federal healthcare regulations and accreditation required. Able to: speak, read and write legibly in English (and Spanish preferred) with professional quality; use computer, printer and software programs necessary to the position, e.g., Microsoft Office Suite, Outlook, electronic medical record, electronic event reporting program. Relate and communicate positively, effectively and exhibit professional behavior at all times; work calmly and respond courteously when under pressure; be assertive and consistent in following policies; 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; problem solve; recall information with accuracy; pay close attention to detail; hear sufficiently for general conversation in person and on the telephone; identify and distinguish various sounds associated with the work place; see adequately to read computer screens, medical records, and written documents necessary to position.


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.

  • Case Manager

    4 days ago

    Loma Linda, United States Loma Linda University Full time

    **Job Summary**:The Case Manager serves as a key member of the patient care delivery team in a Magnet Recognized large tertiary academic medical center with level one trauma designation, ST-Elevation Myocardial Infarction (STEMI) receiving center designation, and Comprehensive Stroke Center and Chest Pain Center accreditation. Works efficiently in a...

  • Occupational Therapist Sr

    4 weeks ago

    Loma Linda, United States Loma Linda University Medical Center Full time

    Job Summary: The Occupational Therapist Senior assesses, plans, implements prescribed Occupational Therapy treatment. Provides advanced patient care including evaluations, goal setting, treatment planning, family training and the application of treatment techniques in accordance with designated practice act and department policy and procedure. Assists...

  • Clinical Nurse B-ED

    6 days ago

    Loma Linda, United States Loma Linda University Full time

    Job Summary: The Clinical Nurse B-Emergency Department (ED), functions in a Magnet Recognized large tertiary academic medical center with level one trauma designation, ST-Elevation Myocardial Infarction (STEMI) receiving center designation, Comprehensive Stroke Center and Chest Pain Center accreditation. Performs the nursing process (assessment, care...

  • Clinical Nurse B-ED

    3 weeks ago

    Loma Linda, United States Loma Linda University Full time

    Job Summary: The Clinical Nurse B-Emergency Department (ED), functions in a Magnet Recognized large tertiary academic medical center with level one trauma designation, ST-Elevation Myocardial Infarction (STEMI) receiving center designation, Comprehensive Stroke Center and Chest Pain Center accreditation. Performs the nursing process (assessment, care...

  • Clinical Nurse B-ED

    3 weeks ago

    Loma Linda, United States Loma Linda University Full time

    Job Summary: The Clinical Nurse B-Emergency Department (ED), functions in a Magnet Recognized large tertiary academic medical center with level one trauma designation, ST-Elevation Myocardial Infarction (STEMI) receiving center designation, Comprehensive Stroke Center and Chest Pain Center accreditation. Performs the nursing process (assessment, care...

  • Scheduler-Rehab Core

    2 weeks ago

    Loma Linda, United States Loma Linda University Medical Center Full time

    Job Summary: The Scheduler-Rehab Core is responsible for managing and coordinating all rehab service area appointments within all identified rehab service areas including inpatient services, outpatient services, and other multi-disciplinary clinics. Collaborates with various departments. Schedules team, department and Rehabilitation Institute wide meetings....

  • Performance Analyst

    1 week ago

    Loma Linda, United States Loma Linda University Medical Center Full time

    - Managed Care (Full-Time, Day Shift) - Our mission is to participate in Jesus Christ's ministry, bringing health, healing, and wholeness to humanity by: Creating a supportive faculty practice framework that allows Loma Linda University School of Medicine physicians and surgeons to educate, conduct research, and deliver quality health care with optimum...

  • Performance Analyst

    2 days ago

    Loma Linda, United States Loma Linda University Medical Center Full time

    - Managed Care (Full-Time, Day Shift) - Our mission is to participate in Jesus Christ's ministry, bringing health, healing, and wholeness to humanity by: Creating a supportive faculty practice framework that allows Loma Linda University School of Medicine physicians and surgeons to educate, conduct research, and deliver quality health care with optimum...

  • Clinical Nurse B-ED

    2 weeks ago

    Loma Linda, United States Loma Linda University Full time

    JOB DESCRIPTION CH: Pediatric Emergency Department (Full-time, Night shift) - 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. The Clinical Nurse B-Emergency Department(ED) functions in a Magnet Recognized large tertiary academic...

  • Community Health Worker

    4 days ago

    Loma Linda, United States Loma Linda University Medical Center Full time

    Shared Services: Community Health Workers (Full-Time, Day Shift) - Job Summary: The Community Health Worker is responsible for helping patients and their families navigate and access community services, access health care services, and adopt healthy behaviors. Supports providers and the care management teams through an integrated approach to case management...

  • Outpatient Psychotherapist

    2 weeks ago

    Loma Linda, United States Loma Linda University Medical Center Full time

    Behavioral Medicine Center: Outpatient Services (Part Time, Day Shift) - 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. The Outpatient Psychotherapist demonstrates advanced clinical, problem solving and crisis intervention...

  • Clinical Therapist 1-Out

    1 week ago

    Loma Linda, United States Loma Linda University Medical Center Full time

    Job Summary: The Clinical Therapist (CT) 1-Outpatient conducts clinical services, participates in case management, discharge planning, and intervenes in high-risk situations. The CT 1-Outpatient complies with all legal and regulatory reporting requirements, interventions, documentation and referrals. The CT 1-Outpatient collaborates with the treatment team,...

  • Clinical Therapist 2-Out

    2 weeks ago

    Loma Linda, United States Loma Linda University Medical Center Full time

    Behavioral Medicine Center: PHP/IOP Substance Use and Recovery (Full Time, Day Shift) - 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. The Clinical Therapist (CT) 2-Outpatient demonstrates advanced clinical, problem solving and...

  • Clinical Therapist 2-Out

    2 weeks ago

    Loma Linda, United States Loma Linda University Medical Center Full time

    Behavioral Medicine Center: PHP/IOP Adult and Eating Disorder (Full Time, Day Shift) - 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. The Clinical Therapist (CT) 2-Outpatient demonstrates advanced clinical, problem solving and...

  • Clinical Therapist 1-Out

    1 week ago

    Loma Linda, United States Loma Linda University Medical Center Full time

    Job Summary: The Clinical Therapist (CT) 1-Outpatient conducts clinical services, participates in case management, discharge planning, and intervenes in high-risk situations. The CT 1-Outpatient complies with all legal and regulatory reporting requirements, interventions, documentation and referrals. The CT 1-Outpatient collaborates with the treatment team,...

  • Clinical Therapist 1-Out

    10 hours ago

    Loma Linda, United States Loma Linda University Medical Center Full time

    Job Summary: The Clinical Therapist (CT) 1-Outpatient conducts clinical services, participates in case management, discharge planning, and intervenes in high-risk situations. The CT 1-Outpatient complies with all legal and regulatory reporting requirements, interventions, documentation and referrals. The CT 1-Outpatient collaborates with the treatment team,...

  • Outpatient Psychotherapist

    4 weeks ago

    Loma Linda, United States Loma Linda Univ Behavioral Full time

    Behavioral Medicine Center: Outpatient Services (Full Time, Day Shift) -  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. The Outpatient Psychotherapist demonstrates advanced clinical, problem solving and crisis intervention...

  • Supervisor-SurgicalUtilization

    3 weeks ago

    Loma Linda, United States Loma Linda University Medical Center Full time

    UH: Operating Room (Full-Time, Day Shift) - 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. The Supervisor-Surgical Suite Utilization functions effectively in a fast-paced academic medical center with level one trauma...

  • Coordinator-transplant 1 Tct

    4 days ago

    Loma Linda, United States Loma Linda University Full time

    **Job Summary**:The Coordinator-Transplant 1, Transplant and Cellular Therapy (TCT) demonstrates comprehensive care and advanced knowledge related to the specialty practice of pediatric stem cell and bone marrow transplant process and treatment. Utilizes discretion and independent judgment to prioritize, coordinate, provide and document direct and indirect...

  • Staff Psychologist

    3 weeks ago

    Loma Linda, United States Veterans Health Administration Full time

    Summary A Psychologist at a VISN 22 medical facility provides a full range of psychotherapeutic, diagnostic and training activities to mental health inpatients and diagnoses mental disorders, particularly for complex or unusually difficult patients with psychiatric disorders under the supervision of the designated Program Manager and Chief/Assistant...