Job Summary: The Case Manager 2-BMC performs a variety of case management duties, thus assuring proper utilization providing maximum quality of patient care. Serves as a resource for staff in the area of Joint Commission standards and those of private utilization review agencies. Responsible for clinical evaluation and disposition of patients referred to the Loma Linda University Behavioral Medicine C enter. Coordinates contact with the appropriate clinical, hospital and community resources. Coordinates with clinicians and hospital staff to facilitate hospital admissions. Performs other duties as needed.
Education and Experience: Associate degree in nursing required. Bachelor's degree in nursing preferred. Minimum one year of psychiatric, utilization review or quality assurance experience preferred.
Knowledge and Skills: Ability to speak clearly in person and over the phone; ability to write clearly and concisely; ability to listen well and interact appropriately with patients, visitors, employees and outside agencies; ability to input data into computer. Must have diplomacy and tactfulness; must possess skills in negotiating, telephone usage, and written and verbal communication. Ability to work as a team member. Ability to develop positive therapeutic interactions with patient, patient families, coworkers, supervisors, medical staff and outside agencies; maintains calm demeanor in crisis situations; communicates clearly and effectively. Ability to maintain confidentiality. Ability to assess patients' conditions, interpret care plan, comprehend appropriate interventions, evaluate patient response to care, teach patients and families; requires higher level mental faculties accompanied by short and long-term memory; ability to concentrate on several assignments simultaneously, ability to organize and prioritize; ability to work with limited supervision; ability to execute duties in an efficient manner with attention to detail, ability to receive and accurately carry out instructions. Good problem-solving skills with attention to details; ability to analyze and interpret data; requires analytical thinking skills accompanied by short and long-term memory; ability to work independently with minimal supervision. Excellent usage of English language and grammar. Knowledge of psychotropic medications. Knowledge of appropriate age group(s). Knowledge of Joint Commission, C MS and private payor guidelines and regulations.
Licensures and Certifications: Current and unrestricted California RN license required. Certified Professional in Healthcare Quality preferred. Current Basic Life Support (BLS) certification from the American Heart Association and Management of Assaultive Behavior (MAB) course required within 90 days of hire.