Case Manager 2-BMC

Loma Linda University Health; Redlands (CA); On-site; USD 90,000 - 120,000; Full time

Job summary

Loma Linda University Health in California is seeking a Case Manager 2-BMC to perform comprehensive case management, utilization review, and discharge planning to ensure optimal patient care. The role serves as a resource on Joint Commission standards and collaborates with clinical teams to facilitate admissions.

The position requires a BSN, an active California RN license, BLS, and experience in hospital nursing with a focus on case management and quality assurance.

Qualifications

• BSN required.
• Minimum two years hospital nursing experience.
• Minimum two years of case management, utilization review, or discharge planning in acute care.

Responsibilities

• Perform case management duties to assure appropriate utilization and quality patient care.
• Act as a resource on Joint Commission standards and utilization review guidelines.
• Coordinate with clinical, hospital, and community resources to facilitate admissions and discharge planning.

Skills

Communication

Interpersonal skills

Data entry

Confidentiality

Team collaboration

Education

BSN

RN license

BLS certification

MAB course

Job description

This is a full-time, Monday-Friday from 8am-4:30pm.

Job Summary:

The Case Manager 2-BMC performs a variety of case management duties, thus assuring proper utilization providing maximum quality of patient care. Serves as a resource for staff in the area of Joint Commission standards and those of private utilization review agencies. Responsible for clinical evaluation and disposition of patients referred to the Loma Linda University Behavioral Medicine C enter. Coordinates contact with the appropriate clinical, hospital and community resources. Coordinates with clinicians and hospital staff to facilitate hospital admissions. Performs other duties as needed.

Education and Experience:

Bachelor of Science degree in nursing (BSN) required. Minimum two years of hospital nursing experience required. Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. One year of psychiatric or quality assurance experience preferred.

Knowledge and Skills:

Ability to speak clearly in person and over the phone; ability to write clearly and concisely; ability to listen well and interact appropriately with patients, visitors, employees and outside agencies; ability to input data into computer. Must have diplomacy and tactfulness; must possess skills in negotiating, telephone usage, and written and verbal communication. Ability to work as a team member. Ability to develop positive therapeutic interactions with patient, patient families, coworkers, supervisors, medical staff and outside agencies; maintains calm demeanor in crisis situations; communicates clearly and effectively. Ability to maintain confidentiality. Ability to assess patients' conditions, interpret care plan, comprehend appropriate interventions, evaluate patient response to care, teach patients and families; requires higher level mental faculties accompanied by short and long-term memory; ability to concentrate on several assignments simultaneously, ability to organize and prioritize; ability to work with limited supervision; ability to execute duties in an efficient manner with attention to detail, ability to receive and accurately carry out instructions. Good problem-solving skills with attention to details; ability to analyze and interpret data; requires analytical thinking skills accompanied by short and long-term memory; ability to work independently with minimal supervision. Excellent usage of English language and grammar. Knowledge of psychotropic medications. Knowledge of appropriate age group(s). Knowledge of Joint Commission, C MS and private payor guidelines and regulations.

Licensures and Certifications:

Active and unrestricted California (RN) license required. Current Basic Life Support (BLS) certification from the American Heart Association required. Management of Assaultive Behavior (MAB) course required within 90 days of hire.