Sep 17, 2021

Case Manager*

  • Loma Linda University Medical Center
  • Loma Linda, CA, USA

Job Description

Case Management (Part-time, Weekend 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 completes complex clinical evaluation for review with Medical Doctor (MD) by gathering necessary medical information on patients being considered for admission to rehabilitation. Travels to other healthcare organizations to evaluate patients for admission. Serves as an admission case manager communicating with third party payors to obtain authorization for acute inpatient rehabilitation. Orients patient and family to rehabilitation programs and process. Works with patient, family and acute case manager to establish discharge plan. Communicates with nursing to arrange staff and bed availability when patient is ready for transfer. Coordinates transfer of patients to rehabilitation when medically cleared and ordered by MD. Obtains financial clearance for patient admission in accordance with admitting department procedures. Develops educational programs for community and third party payors on rehabilitation programs independently. Assists Service Line Director with implementation of marketing plan and provides input in development of marketing budget and maintains expenditures within budget. Builds patient census through growth of new and existing referrals. Facilitates and improves admission access to Rehabilitation services. Assists in the coordination of all public relations functions, mailings and development of promotional materials as assigned. These services may be provided for both the LLUMC and LLUCH hospitals. Performs other duties as needed.

Bachelor's of Science Degree in Nursing or related field required. Minimum four years of Hospital Case Management or Utilization Management experience will be considered in lieu of Bachelor of Science degree. Minimum two years of acute care hospital environment experience required. Active California Registered Nurse (RN) license required. Basic Life Support (BLS) certification required. Nationally recognized certification in Utilization Management or Case Management required (Certification may be in progress or obtained within first two years). Other licensure/certification required as specified in the department-specific Plan for Providing Care.

Working knowledge of regulatory requirements and accreditation standards preferred. Able to read; write legibly; speak in English with professional quality; use computer, printer, and software programs necessary to the position. Able to relate and communicate positively, effectively, and professionally with others; be assertive and consistent in following and/or enforcing policies; work calmly and respond courteously when under pressure; lead, supervise, teach, and collaborate; accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; perform basic math functions; manage multiple assignments effectively; compose written material; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to hear sufficiently for general conversation in person and on the telephone; identify and distinguish various sounds associated with workplace/patient care; see adequately to read computer screens, medical records, and written documents necessary to position.

Additional Information