Case Manager*
Company: Loma Linda University Health
Location: Loma Linda
Posted on: January 23, 2023
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Job Description:
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.
Additional Information
Compensation
US Dollar (USD)
56.06
US Dollar (USD)
79.22
Keywords: Loma Linda University Health, Fontana , Case Manager*, Executive , Loma Linda, California
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