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.
Education and Experience: Bachelor of Science degree in nursing (BSN) required. Minimum one year of psychiatric experience preferred. Minimum one year of experience in utilization review preferred.
Knowledge and Skills: Excellent knowledge of English usage and grammar. Able to speak clearly in person and over the phone; write clearly and concisely; 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; analyze and interpret data; requires analytical thinking skills accompanied by short and long-term memory; work independently with minimal supervision; execute duties in an efficient manner with attention to detail; receive and accurately carry out instructions. Able to distinguish colors as necessary; write, hear, read and speak sufficiently for general conversation in person and on the telephone; identify and distinguish various sounds associated with the workplace; see adequately to read computer screens and written documents necessary to the position.
Licensures and Certifications: Active and unrestricted California (RN) license required. Certified Professional in Healthcare Quality preferred. Case Management certification and training preferred.
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.
Loma Linda University Health’s story is one of hope. Our people strongly believe in the work of physical, mental, and spiritual healing. They are also committed to excellence, integrity, and teamwork. We are a faith-based academic medical center in Southern California’s Inland Empire, and since our establishment in 1905, we’ve been a local, regional, national, and international leader in education, clinical care, and research.
Our 18,000 talented healthcare team members work in our system’s six hospitals, providing whole-person, patient-focused care to more than 57,000 inpatients and over a million outpatients annually. Our passion is to bring hope to each patient and family who seeks our help during their most vulnerable moments in life.
U.S. News and World Report ranks Loma Linda University Medical Center as a Top Riverside/San Bernardino metro area hospital. LLU Children’s Hospital and LLU Medical Center — Murrieta are on the U.S. News list of Top Performing Hospitals for Maternity Care and the Newsweek list of Best Maternity Care Hospitals. Our Medical Center and Children’s Hospital nursing teams have also achieved the prestigious Magnet Status recognizing our strong commitment to nursing excellence.
Loma Linda University’s eight professional schools offer more than 100 academic programs designed to prepare thousands of skilled Christian healthcare workers for service in our local area and locations worldwide. Our graduates enter their careers with an intellectual curiosity and a strong foundation of the knowledge and skills needed for their chosen field. The Great Colleges to Work For program has named Loma Linda University as an outstanding place to work six of the last seven years, and has added the University to its Honor Roll of institutions three times.
