What are the responsibilities and job description for the Care Manager position at Southeast Community Health Systems?
Position Summary: Responsible for direction of patient care in the ambulatory care setting. Manages site nursing staff. Consults with staff, physicians and Director of Nursing on nursing problems and interpretation of policies to ensure patient needs are met. Maintains performance improvement activities within the department and participates in CQI activities. Oversees care team and the coordination of patient care at the appointed site. Responsibilities include the management of high risk populations as determined by the Medical Director. The care manger is responsible for the identification of hospital admissions, hospital re-admissions, ED visits and ensuring proper follow up of the patient.
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Demonstrates Competency in the Following Areas:
- Coordinates and directs patient care to ensure patients’ needs are met and SCHS policy is followed.
- Communicates with local hospitals, clinics, specialists and insurance plans to ensure proper follow up after a hospital admission or ED visit.
- Decisions made reflect knowledge of facts, knowledge of diseases/surgical conditions, care required and good judgment.
- Ability to perform a head-to-toe preoperative assessment on all patients and reassess, as needed postoperatively. This includes infant to geriatric and the general patient population.
- Knowledge of medications and their correct dosing and administration, based on age of the patient and their clinical condition.
- Follows the five (5) medication rights and reduces the potential for medication errors.
- Ability to formulate an individualized plan of care, as indicated, and evaluate for effectiveness.
- Formulates a teaching plan, based on identified patient learning needs, and evaluates effectiveness of learning. Family is included in teaching, as appropriate.
- Communicates routinely to assure compliance with visits and medications as appropriate to disease.
- Ability to perform waived testing (point-of-care testing), interpret results and take appropriate action as required.
- Demonstrates an ability to assist providers and team members with procedures.
- Organizes and manages nursing activities at his or her site, reflecting due consideration for patients’ needs and the needs of facility and staff.
- Leads team members and coordinates member activities to assure continuity and monitoring of patient care on PCMH model.Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patients served. Able to interpret data about the patient’s status in order to identify each patient’s age specific needs and provide care needed by the patient group.
- Assures performance improvement for the site is performed.
- Maintains a good working relationship and effective communication both within the department and with other departments for the benefit of the patient.
- Assists with orientation for new staff members.
- Oversight of the care team and the coordination of patient care according to SCHS policies and procedures.
- Other duties as assigned
Regulatory Requirements:
- Graduate of an accredited school of nursing with care management/ambulatory care experience preferred
- Current nursing license within the state of Louisiana
- Current BLS certification
- Basic computer knowledge required
- Proficiency in the English language required
- Proficiency in Spanish desired
- Experience with an EMR desired