POSITION QUALIFICATIONS

MINIMUM QUALIFICATIONS:

• Current, valid, and active license in the state of employment as a Registered Nurse (RN) or Licensed Social Worker (LSW)required.

Current BLS certification required.

ADDITIONAL QUALIFICATIONS/SKILLS:

Minimum one (1) year of case management experience preferred. Previous LTAC experience preferred. CCM or ACM certification preferred.

Working knowledge and ability to apply professional standards of practice in job situations.

Must be assertive and personable with the ability to balance the complex challenge of delivering quality, cost- appropriate, and service-oriented outcomes.

Demonstrates comprehensive knowledge of the principles and concepts of case management and applicable standards of voluntary and regulatory agencies for review activities.

Proficient in collecting and retrieving material from medical records.

Knowledgeable in utilization review, medical terminology, appropriate levels of care, treatment, modalities, statues, and healthcare delivery models.

Communication skills, both written and oral, must be outstanding and practiced with all internal and external business relationships.

Interpersonal relationship abilities must be highly refined with negotiation and problem solving skills at a very high level.

Must possess strong clinical assessment and process skills. Critical thinking skills must be demonstrated in all situations. Ability to project a professional image.

Knowledge of regulatory standards and compliance requirements. Strong organizational, prioritizing and analytical skills.

Ability to make independent decisions when circumstances warrant.

Working knowledge of computer and software applications used in job functions. Freedom from illegal use of and effects of use of drugs and alcohol in the workplace.

ADDITIONAL RESPONSIBILITIES

• Maintain excellent working relationships with co-workers, health care professionals and other health related facilities and organizations as appropriate.
• Promote Organization philosophy, mission and objectives within and to patients and customers outside the hospital.
• Demonstrates ability to prioritize tasks/responsibilities and complete duties within allotted time. Willing to seek out new methods and principles and be willing to incorporate them into existing practices.
• Demonstrates and understands the importance of and respect for the rights, dignity, and individuality of each patient in all interactions.
• Demonstrates honesty and integrity at all times in the care and use of patient and hospital property.
• Demonstrates respect for co-workers and responds to needs of patients by complying with hospital policies.
• Demonstrates satisfactory level of interpersonal skills to interact and deal tactfully with facility staff, Administration, patients, families, customers, vendors, and government agencies.
• Access continuing education opportunities appropriate to responsibilities.
• Appropriately accesses the resources of the companys corporate offices for consultation and support. Routinely shares professional knowledge with staff, managers and hospital personnel.
• Attend and participate in facility meetings.
• Knowledge of emergency and disaster procedures of the facility.
• Participate in hospital wide safety program identifying risks to patient safety and reducing healthcare errors.
• Participates in relevant in-service training sessions.
• Review patients charges
• Perform other duties as assigned.

.

Patient Rights Promotes and protects patients rights; treats patients with dignity and

respect; reports suspected abuse or neglect.

Leadership Demonstrates willingness to try new tasks; generates new ideas for change;

evaluates and recognizes priorities; communicates and models organizational values; fosters high performance.

Performance Improvement Applies performance improvement methods and techniques; assists in data

collection; identifies processes for improvement in daily work; and participate in new employee orientation.

Environment of Care Demonstrates understanding of fire and emergency procedures; participates

in fire and disaster drills; demonstrates understanding of safety and security procedures; applies safety and security precautions; demonstrates understanding of hazardous materials plan; demonstrates proper use of equipment.