RN Case Manager

Job Summary

To coordinate comprehensive care for a specific patient population, ensuring seamless, cost-effective, and high-quality patient care; to lead a multi-disciplinary team in delivering quality care to a designated patient group and their families; to evaluate patients for appropriateness of care and medical necessity; to assess and coordinate efforts to meet resource management goals, enhance patient outcomes, and monitor the cost-effectiveness of care; and to perform all job duties in accordance with the medical center’s mission and purpose.

Education & Experience

• Required: One (1) year of nursing experience.
• Preferred: RN case management certification preferred.

Knowledge, Skills & Abilities

• Knowledge and understanding of patient care for a specified population.
• Verbal and written communication skills.
• Interpersonal skills.
• Knowledge and understanding of computer systems.
• Ability to work in a team environment.
• Ability to multi-task.
• Problem solving skills.
• Organizational and time management skills.

Responsibilities

• Performs and documents a comprehensive assessment for a specified group of patients whose diagnosis; procedures; and social, psychological, or financial needs indicate they would benefit from case management.
• Participates in the coordination and development of a plan of care with patients, family, and the interdisciplinary team.
• Reassesses and documents clinical needs and case management interventions.
• Facilitates coordination, timeliness, and appropriate resource for the patient's need.
• Captures and implements specific case management activities or interventions to achieve the goals set forth in the case management plan.
• Exhibits a positive and professional attitude as exhibited in behavior and productivity.
• Leads case management activities within specific patient/service populations.
• Makes a continuous effort to monitor patient progress to determine the effectiveness of interventions and the interdisciplinary plan and impacts a change in the plan at the patient's condition or circumstances change.
• Evaluates appropriateness and medical necessity of the plan of care.
• Facilitates actions to move patients to the appropriate level of care as indicated.
• Collaborates with the social worker and other team members to discuss patients in need of services, resources, or support.
• Utilizes reports, data, and schedules to evaluate measures required to reflect.

Physical and Environmental Demands

• Occasional exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold.
• Frequent exposure to bio-hazardous conditions such as risk of radiation exposure, blood borne pathogens, fumes or airborne particles, and/or toxic or caustic chemicals which mandate attention to safety considerations.
• Frequent work produced subject to precise measures of quantity and quality.
• Frequent bending.
• Occasional lifting and carrying up to 75 pounds.
• Frequent climbing.
• Frequent crouching/stooping.
• Occasional driving.
• Occasional kneeling.
• Frequent pushing/pulling.
• Frequent reaching.
• Frequent sitting.
• Frequent standing.
• Frequent twisting.
• Frequent walking.

Time Type

Full time

FLSA Designation/Job Exempt

Yes

Pay Class

Salary

FTE %

100

Work Shift

Day

Benefits Eligibility

Grant Funded: No