Job - Case Manager-Outpatient

Loma Linda University Health Care - Loma Linda, California

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Case Manager-Outpatient

Loma Linda University Health Care - Loma Linda - CA Careers Responsibilities

Full-Time M-F 8a-5p AM/PM
Job Summary: The Outpatient Case Manager, Ambulatory, is responsible for coordinating care of the patient/family across the health care continuum.  Through multidisciplinary collaboration, care is individualized to enhance achievement of mutually set goals and assure effective and efficient use of resources within fiscal realities.  Serves as the link between the patient in the community and the primary care physician to promote seamless, quality care that enhances quality of life.  Serves as a broker in obtaining identified resources for the client; focuses on changing from retrospective, episodic case management to a prospective system of health maintenance, disease prevention and management. May be paged after hours and/or on weekends if needed, to meet contractual obligations and provide decision support for managed care issues 24/7.  Performs other duties as needed. Job Specifications:  Associate’s Degree in Nursing required, Bachelor’s Degree preferred. Minimum three years of experience as registered nurse with two years within managed care required. One additional year nursing experience required in lieu of degree. Current California RN license required.  Valid Driver’s License required at time of hire. Commission for Case Managers (CCM) Certification preferred. Able to read; write legibly; speak in English (and Spanish preferred) with professional quality; use computer and software programs necessary to the position; troubleshoot and calibrate patient care equipment. Able to 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. Able to accept direction; perform basic math functions; manage multiple assignments effectively; work well under pressure; problem solve; organize and prioritize workload; recall information with accuracy; pay close attention to detail. Able to 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. Available after hours via pager to facilitate coordination of patient care including transportation, transfers to other levels of care, vendor selection and other issues that arise.

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