Case Manager*

Loma Linda University Medical Center
Loma Linda, CA, United States
Full-time
We are sorry. The job offer you are looking for is no longer available.

University Hospital : Case Management (Unscheduled, 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.

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.

28 days ago
Related jobs
Promoted
Choice Health Group
Riverside, California

The Doctor's Choice Home Health is seeking immediate hire for an LVN Case Manager to join our growing home health team. LVN Case Manager Responsibilities:. LVN Case Manager Qualifications. One to Two year minimum clinical case management experience. ...

Promoted
The Camden Center
Orange County, CA, US

The case manager will additionally communicate with the client, hour dependent, to further support their process in the case management program, making changes as needed. Within the chain of command, the mentor’s and companion’s direct supervisor is the client’s respective Case Man...

Promoted
UnitedHealth Group
Riverside, California

As a Case Manager, you'll help provide a holistic, patient-centered approach to care that addresses both immediate and long-term needs. Required Qualifications:**+ High School diploma or GED or equivalent work experience+ Unrestricted LPN or LVN license in the State where the position will be perfor...

Promoted
CoreMedical Group
CA, United States

Client in CA seeking RN Case Managers to work days. Aside from the many museums that showcase California's history, there are also many historic sites and monuments. ...

The People Concern
Wilmington, CA 90744, USA

In partnership with the Department of Health (DHS) and the Office of Diversion and Re-entry (ODR) Team the ODR Case Manager will work with clients recently released from jail, who are moving from homelessness to in permanent supportive housing, to provide intensive case management. Case Manager, ODR...

Sutter Health
California, CA

This position plans, organizes, and directs all patient care services for patients in the assigned caseload in accordance with current standards and regulations, ensuring the optimal degree of quality care is maintained. Must be able to meet company productivity standards as indicated by organizatio...

People Assisting The Homeless
San Diego County

PATH is seeking candidates passionate about helping others make a positive change in their lives to join our Housing Navigation Services as the Lead Case Manager: (HRC) at the San Diego Office. As part of the Housing Navigation Services team, the Lead Case Manager: (HRC) will assist clients in break...

DirectEmployers
Riverside, California

Refers appropriate cases to Medical Directors and presents them in a consistent and efficient manner. ...

Bridge Home Health and Hospice
Fair, CA, US

Act as Case Manager when assigned by Clinical Supervisor/Nursing Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Fulfills the obligation of requested and/or accepted case assignments. ...

DirectEmployers
Riverside, California

We are looking for a RN Care Transitions Case Manager who must reside in CALIFORNIA and be able to drive within one of the following county locations: Los Angeles County, San Diego County, San Bernardino County, Riverside County or Sacramento County. Transition Care Case Manager will work in remote ...