All jobs → Partner boards

Case Manager-Utilization Review

Loma Linda University Health • Loma Linda, CA, US • published 2026-09-28 02:55:06.926755

Description

**This is a full time, day shift position, the schedule is 8am\-4:30pm.** **This role requires alternating weekends and holiday shifts.** **The hyrbird schedule is for up to two days remote and three days in office.** **Job Summary:** 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. Prac...

Get jobs like this daily in Telegram: @careeri_bot