Description

Job Title: RN Case Manager

Reports To: Director of Nursing

FLSA Status: Exempt

Benefits:

• Medical, Dental, Vision, LTD, Life Insurance, Medical Expense Reimbursement Plan
• Eligible to participate in 401K on the 1st day of hire with employer matching. Speak with HR about guidelines/restrictions.
• Eligible to participate in the profit sharing. Speak with HR about guidelines/restrictions.
• 13 Paid Holidays including a floating Holiday.
• Employee Assistance Program for counseling & financial wellness for employee and dependents.

Required Vaccines and Tests: Covid-19, Influenza, Tdap, Hep B, MMR, Varicella, Clear TB and drug test.

Additional Vaccines may be required.

JOB SUMMARY:

Provides quality and comprehensive patient care through the development, implementation and evaluation of individual patient medical care plans, while following established professional standards of care. Functions as an integral part of the patient-centered medical team and is a liaison between FHC patients and their family.

ESSENTIAL FUNCTIONS:

· Coordinates medical care for Family Healthcare patients and specialty care providers as needed.

· Coordinates care and communication between multiple providers: medical, nursing, social and behavioral health.

· Works to insure a patient centered clinical approach, and a holistic approach, to care and treatment.

· Works within the Clinic’s health team to help identify patients who have health risk factors, especially for chronic diseases.

· Monitors disease specific individual self-management goals and program measures, to reach and maintain patient care and program targets.

· Works with medically-complex population with mental/physical health challenges, including mood and psychotic disorders, and substance use.

· Consults with interdisciplinary treatment teams regarding medical care for patients.

· Conducts weekly care reviews with multiple providers.

· Review quality outcomes data with health care team to draw valid conclusions.

· Identify and implement strategies to improve care.

· Provide home visits and/or specialty medical visits as clinically indicated.

· Maintain client confidentiality at all levels of interaction.

· Support the organizations mission, vision and values as it relates to customer satisfaction in all interaction with patients, staff and visitors.

ADDITIONAL RESPONSIBILITIES:

· Handle special projects and other duties as assigned by Director of Quality Assurance and Improvement

· Accept responsibility for continued professional growth, development and competency in the field of health assessment and disease management.

· Demonstrates professional conduct by appropriate action and communication.

Requirements

JOB QUALIFICATIONS:

· Current RN License and CPR certification, experience with EHR, and 2-5 years of experience in public health, community health, home care or hospital care, providing managed care patient services.

· Ability to develop effective interpersonal relationships with health providers and management.

· Ability to perform duties across life cycle (infant, children, adolescents, adults, prenatal and geriatric)

· Demonstrated organization shills, time management and ability to manage multiple cases.

· Strong communication skills, written and verbal. Bilingual preferred.

· Knowledge and experience in HIPAA regulations, information privacy/security laws, and access and release of information.

· Knowledge of “infection control protocols” and experience in teaching/educating patients about care of chronic diseases.

· Computer proficiency.

Competency:

To perform the job successfully, an individual should demonstrate the following competencies:

Problem Solving - Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; works well in group problem solving situations; uses reason even when dealing with emotional topics.

Customer Service - Manages difficult or emotional customer/patient situations; responds promptly to customer/patient needs; meets commitments.

Interpersonal - Focuses on solving conflict, not blaming; maintains confidentiality; listens to others without interrupting; keeps emotions under control.

Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; responds well to questions.

Team Work - Contributes to building a positive team spirit; supports everyone's efforts to succeed.

Written Communication - Writes clearly and informatively; edits work for spelling and grammar; presents numerical data effectively; able to read and interpret written information.

Ethics - Treats people with respect; keeps commitments; inspires the trust of others; works with integrity and ethically; upholds organizational values.

Organizational Support - Follows policies and procedures; completes administrative tasks correctly and on time; supports organization's goals and values.

Attendance/Punctuality - Is consistently at work and on time; ensures work responsibilities are covered when absent; arrives at meetings and appointments on time.

Dependability - Follows instructions, responds to management direction; takes responsibility for own actions; keeps commitments.

Judgment - Exhibits sound and accurate judgment.

Professionalism - Approaches others in a tactful manner; reacts well under pressure; treats others with respect and consideration regardless of their status or position; accepts responsibility for own actions; follows through on commitments.

Quality - Demonstrates accuracy and thoroughness; monitors own work to ensure quality.

Quantity - Meets productivity standards; completes work in timely manner.

Safety and Security - Observes safety and security procedures; reports potentially unsafe conditions.

Other Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Language Ability:

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers/patients or employees of organization.

Math Ability:

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

Reasoning Ability:

Ability to define problems, collect data, document facts and draw valid conclusions. Ability to interpret an extensive variety of technical regulations. Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Computer Skills:

To perform this job successfully, an individual should have knowledge of Microsoft Word; Microsoft Excel; and Internet Explorer.

Work Environment:

The work environment characteristics are representative of a typical medical office setting with appropriate climate controls. The noise level in the work environment is usually moderate. This is not an OSHA high-risk position.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The employee must regularly lift and /or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. While performing the duties of this job, the employee is regularly required to walk, talk, and hear. The employee is frequently required to stand; sit; use hands to finger, handle, or feel; and reach with hands and arms. The employee is occasionally required to climb or balance and stoop, kneel, crouch, or crawl.