Case Manager 1-BMC

Loma Linda University Health • Redlands, CA

11h • Onsite

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.
• 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.
• Active and unrestricted California (RN) license required.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level