Case Manager ECH: Case Management

1 day ago

Loma Linda, California, United States Loma Linda University Medical Center 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. This role requires efficient work in a fast-paced environment, utilizing clinical expertise, discretion, and independent judgment 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.

Responsibilities:
  • 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.
Requirements:
  • 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.
Preferred Qualifications:
  • Nationally recognized certification in Utilization Management or Case Management.
About Us:

Loma Linda University Health is a Seventh-day Adventist, faith and values-based Christian institution. Candidates must understand and embrace the mission, purpose, and identity of Loma Linda and its affiliated entities.

About the Team:

Loma Linda University Medical Center is 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.

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