Case Manager
Division: University Hospital
Department: UH - Case Mgmt & Social Work
Schedule: Full-Time
Shift: AM
Hours:
Job Details: Job Summary: This position will support LLUMC's strategic plan and the organization's mission to continue the teaching and healing ministry of Jesus Christ, while embracing the core values of Compassion, Integrity, Excellence, Teamwork, and Wholeness. Reports to the Executive Director-Case Management. The Case Manager utilizes clinical expertise, discretion, and independent judgment in assessing, providing, coordinating and monitoring healthcare services for all assigned patients. Ensures medical appropriateness criteria (medical necessity) are met for level of care provided and is documented from admission through discharge. Practices in a collaborative health care 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 health care needs of the patient. Reevaluates plan of care and ensures continued appropriateness based on the patients changing needs and condition. Maintains working knowledge of specialized case and utilization management methodologies and practices; applies concepts to every-day practice. Serves as a role model to other members of the case management team and mentors staff in case management principles and practices. Demonstrates ability to be an effective change-agent for implementation of new processes to achieve desired outcomes/performance measures. Performs other duties as needed. Job Specifications: 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. Bachelor's of Science Degree in Nursing or related field required. Minimum of four years of Hospital Case Management or Utilization Management experience will be considered in lieu of Bachelor of Science degree. Minimum of 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.
EOE AA M/F/Vet/Disability
