Case Manager 1-BMC

Loma LindaRedlands, CA
$39 - $52Onsite

About The Position

The Case Manager-1-BMC is responsible for a variety of utilization review duties, thus assuring proper utilization providing maximum quality of patient care. Acts as a resource for staff in the area of Joint Commission standards and those of private utilization review agencies. Performs other duties as needed.

Requirements

  • Bachelor of Science degree in nursing (BSN) required.
  • Active and unrestricted California (RN) license required.
  • Excellent knowledge of English usage and grammar.
  • Able to speak clearly in person and over the phone.
  • Able to write clearly and concisely.
  • Able to operate office equipment.
  • Able to listen well and interact appropriately with patients, visitors, employees and outside agencies.
  • Must have diplomacy and tactfulness.
  • Must possess skills in negotiating, telephone usage, and written and verbal communication.
  • Able to work as a team member and maintain confidentiality.
  • Able to demonstrate effective problem solving skills with attention to details.
  • Able to analyze and interpret data.
  • Requires analytical thinking skills accompanied by short and long-term memory.
  • Able to work independently with minimal supervision.
  • Able to execute duties in an efficient manner with attention to detail.
  • Able to receive and accurately carry out instructions.
  • Able to distinguish colors as necessary.
  • Able to write, hear, read and speak sufficiently for general conversation in person and on the telephone.
  • Able to identify and distinguish various sounds associated with the workplace.
  • Able to see adequately to read computer screens and written documents necessary to the position.

Nice To Haves

  • Minimum one year of psychiatric experience preferred.
  • Minimum one year of experience in utilization review preferred.
  • Certified Professional in Healthcare Quality preferred.
  • Case Management certification and training preferred.

Responsibilities

  • Perform a variety of utilization review duties to assure proper utilization and maximum quality of patient care.
  • Act as a resource for staff regarding Joint Commission standards and private utilization review agencies.
  • Perform other duties as needed.
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