JOB TITLE: RN Case Management

DEPARTMENT: Clinical

REPORTS TO: Nursing Manager

FLSA STATUS: Exempt

LOCATION: Paterson/Alcott

POSITION SUMMARY:

The RN Case Manager serves in an expanded healthcare role to collaborate with specialists, members of the healthcare team, and patients/families to ensure the delivery of quality, efficient, and cost-effective healthcare services. Develops and assesses plan of care with patient/family, implements, monitors, and evaluates all options to optimize patient’s health status. Utilizes evidence-based clinical guidelines, preventive guidelines, and protocols to develop patient-centered care plans.

DUTIES AND RESPONSIBILITIES: In accordance with the North Star objectives: Quality, Finance, Patient Satisfaction, Employee Engagement, and Growth this position includes, but is not limited to the following duties.

• Assures quality of care by adhering to Best Practice; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following standards of care set by the state board of nursing, State Nurse Practice Act, and other governing agency regulations.
• Consults and communicates care objectives with primary care providers, specialists, and community resources to aid patients in achieving healthcare goals. Including but not limited to assessing the healthcare, education, and psychosocial needs of the patient/family.
• Develops an individualized plan of care with targeted interventions, monitors patient and family’s response to plan of care, and adjusts plan of care as needed. Provides patient with self-management tools/support to build ability for self-care.
• Follow up on patient’s hospital admissions/Emergency Department visits and MI Care visits.
• Documents patient care services by documenting in patient and department records. Examples: MI Care log, EMR, and transportation log.
• Assign proper billing/coding for services rendered.
• FHC Employee Engagement: participates in organizational events within the community and Family Health Center.
• Maintains professional and technical knowledge by attending educational workshops: monthly staff meetings, and clinical committees.
• Adhere to the laws regarding safeguarding medical information according to the Health Insurance Portability and Accountability Act (HIPAA).

COMPETENCIES:

Collaborative

• Displays willingness to make decisions, resolve conflict, and delegate work assignments in a timely manner.
• Adapts to change and takes responsibility for own actions to advance team goals.
• Speaks and writes clearly and persuasively in formal and informal presentations.
• Actively participates in meetings and uses listening skills to keep an open mind.
• Solicits input from appropriate stakeholders, explains reasoning for decisions, and uses strong interpersonal skills to communicate and influence others.
• Gives recognition to others for results.

Solid Character

• Balances team and individual responsibilities while assessing own strengths and weaknesses.
• Exhibits objectivity and openness to others’ views
• Welcomes feedback, builds positive team spirit, and supports all team members.
• Develops alternative solutions, support, and shares expertise with other team members while building positive morale.
• Demonstrates knowledge of company policies and treats people with respect.
• Works ethically and with integrity and upholds organizational values.
• Keeps commitments and shows respect and sensitivity for cultural differences.
• Educates others on the value of diversity and promotes a positive work environment where all feel free to contribute.

Organizational Support

• Completes administrative tasks correctly and on time and develops strategies to achieve organizational goals and values.
• Supports affirmative action and respect diversity, understands the organization’s strengths and weaknesses, analyzes market and competition, and identifies external threats and opportunities while adapting strategy to changing conditions.
• Prioritizes and plans work activities while understanding the business implications of decisions.
• Demonstrates accuracy and thoroughness within the approved budget and displays original thinking and creativity.
• Displays knowledge of market and competition that aligns with strategic goals.
• Meets challenges with resourcefulness, generates suggestions for improving work, and develops innovative approaches and ideas.

Leadership

• Displays passion and optimism while exhibiting confidence in self and others.
• Inspires respect and trust while motivating others to perform well and influencing the actions and opinions of others.
• Coordinates projects, develops workable implementation plans and includes staff in planning, decision-making, and process improvement.
• Communicates and completes changes and progress of projects on time and within budget while managing project team activities to overcome resistance.
• Makes self-available to staff, and provides regular performance feedback.
• Develops individual team member skills and encourages growth.

Safety and Security

• Promotes safety precautions and security measures to ensure the safety of both staff and patients.
• Adheres to data security guidelines, including appropriate use of EMR systems and IT resources.

TYPICAL WORKING CONDITIONS:

• While performing the duties of this Job, the employee is frequently exposed to airborne particles.
• The noise level in the work environment is usually moderate to quiet.
• Variable work hours to meet the needs of the organization may be required.

TYPICAL PHYSICAL DEMANDS:

• While performing the duties of this Job, the employee is regularly required to use hands to finger, handle, or feel and talk or hear.
• The employee is frequently required to stand or sit. The employee is occasionally required to walk; reach with hands and arms; or stoop. The employee must occasionally lift and/or move up to 25 pounds.
• Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.

QUALIFICATIONS:

• Minimum of one year of experience working as a Registered Nurse.
• To perform this job successfully, an individual should have the ability to acquire knowledge of electronic health systems.
• Must have adequate transportation to be able to commute to any of the Family Health Center sites.
• Ability to effectively present information and respond to questions from groups of managers,

EDUCATION/EXPERIENCE/CERTIFICATIONS/LICENSES:

• Graduate from an approved school of nursing with an RN degree with an active, unrestricted Michigan license.
• BSN/BS preferred.
• At least three to five years of medical-surgical experience is desired.
• Experience with community/health/public health preferred.
• Basic Life Support. CPR Certified
• LMSW or LLMSW license preferred. But will take LPCs as well.

Family Health Center has the right to modify the duties and functions of the job description based on the needs of the organization.