Case Manager-Case Management

The RN coordinates with physicians, nurses, social workers, and other health team members to expedite medically appropriate cost-effective care. The RN advises the health care team and provides leadership as needed.
 The ability to perform the duties and responsibility of the position, with or without reasonable accommodations for disabilities.

Sufficient strength, mobility and stamina to make frequent location and position changes, assist with patient care, and perform other physical activities of average difficulty.

Candidates whose disabilities make them unable to meet the requirements will still be considered fully qualified if they can perform the essential functions of the job with reasonable accommodations.

May be required to wear protective equipment such as eye protection, face protection, masks, sterile/nonsterile gloves, isolation gowns.

May be exposed to toxic/caustic/chemicals/detergents.

Physical activities include continuous sitting, and occasional walking, standing, bending, squatting, climbing, kneeling and twisting.

Visual and Hearing Requirements    
Must be able to hear clearly with assistance.

Performance:
Time Management:  Works efficiently and manages duties to ensure that tasks are completed with accuracy and within the scheduled shift or reasonable amount of time.
 Quality & Quantity:  Follows departmental work policies and procedures. Computer Knowledge & Electronic Equipment Use:  Demonstrates ability to consistently utilize electronic equipment and online computer programs to perform job duties, including electronic documentation, and order entry.
 Consistently utilizes and maintains supplies and equipment to minimize lost charges and unnecessary equipment repair-replacement.
 Confidentiality:  Adheres to established policies on privacy and security requirements for compliance with the Health Insurance Portability and Accountability Act (HIPAA), as applicable by Shannon Policy.
Positions:
Case Management Tech
 Performance:
Proactively assesses patients and establishes Discharge Care (DC) Plan. consults with and keeps unit/Interdisciplinary Team informed of DC plan. Assesses the patient by collecting information about the patient's home situation and health care needs through direct client contact and other relevant sources to include family, caregivers, etc.
Utilizes established criteria to determine appropriateness of Inpatient admission/status to ensure the appropriate level of care and assists staff with interpretation of the criteria, as indicated.
Attends department meetings and participates in unit activities to stay informed.
Provides "Choice Letter" and assists the patient with selecting a DME company, Nursing Home, Assisted Living facility, Home Health agency, Hospice, etc.; obtains signature on the choice Letter by the patient/family and ensures placement in the chart and documents.
Ensures that the interdisciplinary care/discharge plan is consistent with the patients clinical course, continuing care needs and covered services and modifies, as indicated.
Assists with establishing Advance Directives, Medical power of Attorney, etc. Identifies and establishes legal guardian/decision maker.
Utilizes the Patient/Visitor Safety Learning Report to document patient safety issues and complaints related to care.
Engages patients to actively participate in meeting short and long-term healthcare goals and identifies appropriate community resources and support services to assist the patient.
Ensures discharge prescriptions, orders, and appointments are made, DME, OP services, Nursing Home care, etc. Develops a discharge/care management plan in collaboration with other members of the healthcare team, the physician and 3rd party payers, as indicated.
High School Diploma, GED, or equivalent
Bachelor's degree in Nursing
3-5 years Clinical Experience as a Registered Nurse in a Healthcare/Medical setting  

Case Management Certification   
Must obtain within two (2) years of start date with supervisor approval to test for certification. Proof of testing application/test date will be required to supervisor and HR. Reimbursement for testing will not be provided until certification obtained.