Case Manager*
Company: Loma Linda University Health
Location: Murrieta
Posted on: January 26, 2023
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Job Description:
Case Management and Social Work (Per Diem, 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 and works efficiently in a fast-paced environment and
utilizes clinical expertise, discretion and independent judgment in
performing the nursing process (assessment, care planning,
intervention, evaluation) within a patient-centered care
professional practice model (Duffy's Quality-Caring Model) 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
healthcare 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. 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 or indirectly influence decision-making
for clinical practice by supporting and participating in
committees, task forces and staff meetings.
Performs other duties as needed.
Associate Degree in Nursing required. If hired after August 1,
2021, enrollment in a Bachelor of Science Degree nursing program
within six months of hire with expected completion two and a half
years after enrollment required. Bachelor's Degree in nursing
preferred upon hire. 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, Lake Forest , Case Manager*, Executive , Murrieta, California
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