Job Description

The Case Manager serves as a key member of the patient care delivery team in a Magnet Recognized large tertiary academic medical center with level one trauma designation, ST-Elevation Myocardial Infarction (STEMI) receiving center designation, and Comprehensive Stroke Center and Chest Pain Center accreditation.  

Works efficiently in a fast-paced environment and utilized clinical expertise, discretion and independent judgement in performing the nursing process (assessment, care planning, intervention, evaluation) within a patient-centered care professional practice model (Duffy's Quality-Caring Model) and as it relates to case management functions. Maintains a solid working knowledge of specialized case and utilization management methodologies and practices and applies concepts to everyday practice.

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 healthcare needs of the patient.

Reevaluates plan of care and ensures continued appropriateness based on the patients changing needs and condition. Functions within the expectations of a professional nurse and meets nursing excellence standards to achieve and maintain Magnet Recognition as outlined by the America…

Qualifications

Education and Experience:

• Bachelor's Degree in nursing required.
• Minimum of one year of patient care experience required.
• Minimum of two years of Hospital Case Management or Utilization Management experience preferred.

Licensures and Certifications:

• Active California Registered Nurse (RN) license required.
• Basic Life Support (BLS) certification issued by the American Heart Association required.
• Nationally recognized certification in Utilization Management or Case Management preferred.

About the Hospital

At Loma Linda University Health, we foster an environment where faith and purpose intertwine, creating a supportive professional culture empowering you to thrive and fulfill your calling. Apply today and discover the many opportunities for your future.

Our hospitals rank among the best hospitals regionally and nationally for safety, satisfaction, and specialty care. More than 17,000 employees fulfill our mission through their nationally recognized quality healthcare delivery.

Our Medical Center and Children's Hospital have earned Magnet Recognition for excellence in nursing.