Case Manager 1-BMC

Job Summary: 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.