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Clinical Case Manager

1 month ago

Redlands, California, United States Loma Linda University Medical Center Full time
Job Summary:

The Clinical Case Manager 2-BMC is responsible for performing a variety of case management duties to ensure proper utilization and provide maximum quality of patient care. This role serves as a resource for staff in Joint Commission standards and private utilization review agencies. The Clinical Case Manager 2-BMC is responsible for clinical evaluation and disposition of patients referred to the Loma Linda University Behavioral Medicine Center. They coordinate contact with clinical, hospital, and community resources, and work with clinicians and hospital staff to facilitate hospital admissions.

Responsibilities:
  • Perform clinical evaluation and disposition of patients referred to the Loma Linda University Behavioral Medicine Center
  • Coordinate contact with clinical, hospital, and community resources
  • Work with clinicians and hospital staff to facilitate hospital admissions
  • Provide maximum quality of patient care
  • Serve as a resource for staff in Joint Commission standards and private utilization review agencies
Requirements:
  • Associate degree in nursing required
  • Bachelor's degree in nursing preferred
  • Minimum one year of psychiatric, utilization review, or quality assurance experience preferred
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
  • Diplomacy and tactfulness
  • Negotiating, telephone usage, and written and verbal communication skills
  • Ability to work as a team member
  • Ability to develop positive therapeutic interactions with patients, 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, CMS, and private payor guidelines and regulations