Job - Case Manager

Loma Linda University Medical Center - Loma Linda, California

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Case Manager

Loma Linda University Medical Center - Loma Linda - CA Careers Responsibilities

Part Time This position is for East Campus Hospital (Loma Linda) AM Bachelors Degree CA RN license CPR/BLS
Job Summary:
This position will support LLUMC’s strategic plan and the organization’s
mission to continue the teaching and healing ministry of Jesus Christ, while
embracing the core values of Compassion, Integrity, Excellence, Teamwork, and
Wholeness.  Reports to the Executive Director-Case Management. The Case Manager
utilizes clinical expertise, discretion, and independent judgment in assessing,
providing, coordinating and monitoring healthcare services for all assigned
patients. 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 health care
needs of the patient. Reevaluates plan of care and ensures continued
appropriateness based on the patients changing needs and condition. Maintains
working knowledge of specialized case and utilization management methodologies
and practices; applies concepts to every-day practice. Serves as a role model to
other members of the case management team and mentors staff in case management
principles 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.  Job Specifications:  Working
knowledge of regulatory requirements and accreditation standards preferred.
Able to read; write legibly; speak in English with professional quality; use
computer, printer, and software programs necessary to the position.  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; accept direction.  Able to communicate effectively in English in
person, in writing, and on the telephone; think critically; perform basic math
functions; manage multiple assignments effectively; compose written material;
organize and prioritize workload; work well under pressure; problem solve;
recall information with accuracy; pay close attention to detail; work
independently with minimal supervision.  Bachelor’s of Science Degree in
Nursing or related field required. Minimum of four years of Hospital Case
Management or Utilization Management experience will be considered in lieu of
Bachelor of Science degree. Minimum of two years of acute care hospital
environment experience required.  Active California Registered Nurse (RN)
license required. Basic Life Support (BLS) certification required. Nationally
recognized certification in Utilization Management or Case Management required
(Certification may be in progress or obtained within first two years). Other
licensure/certification required as specified in the department-specific Plan
for Providing Care.

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