PURPOSE/DISTINGUISHING CHARACTERISTICS
The Nursing and Case Manager for CAHS/ER will work under the direction of the DNS and ADNS to provide leadership and management to assigned department. The Nursing and Case Manager is responsible and accountable for the coordination of the 24 hour/7 day a week operational and clinical activity of CAHS/ER. Responsibilities include but are not limited to personnel management to include clinical personnel selection, orientation/training scheduling, development/mentoring, performance appraisals, coaching and counseling, disciplinary actions, patient/resident care delivery, physician relationships, intradepartmental and interdepartmental activities, quality control and process improvement activities, regulatory compliance and fiscal control. Case management responsibilities include but are not limited to working as part of a multidisciplinary team to manage referrals, follow patients from admission to discharge, ensure an individual's medical, social, mental health, and financial needs are looked at, utilize resources to provide best patient care, partake in multidisciplinary patient rounding, maintain individualized care plans, maintain knowledge of reimbursement systems and ensure appropriate cost-effective outcomes, perform transition of cares, evaluate re-admission data, and perform follow-up communication with discharged patients. Assists in the development of policies and procedures specific to the department and case management. Utilizes evidence-based practice to promote education opportunities to staff within the department.
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ESSENTIAL JOB FUNCTIONS
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FREQ. % NO. DESCRIPTION
Supports and models behaviors consistent with RMH’s organizational mission, vision, values, strategic goals, business strategies, code of business conduct, and service expectations. Responsible for adherence to the elements of RMH’s Code of Business Conduct and corporate compliance program. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental, and outside agency environmental, employee, or patient safety standards relevant to job performance.
Assists ADNS with the development, implementation, and maintenance of departmental policies, procedures, goals and objectives to ensure safe, high quality patient/resident care and in relation to case management for CAHS patients.
Participates in the development of an assists with implementation of an education plan that addresses individual and departmental needs. Directs the orientation and training of new staff and ensures ongoing education for current staff. Utilizes evidence-based practice supported by nursing research for staff educational opportunities. Fosters an environment in which staff can realize personal growth and development through active participation in departmental decisions, Shared Governance and opportunities for professional growth.
Assigns, supervises, guides and instructs professional staff in providing high quality services including accurate documentation and adherence to state and federal regulations.
Participates in both short- and long-term planning for departmental functions, budgetary processes, and fiscal control. Maximizes resources; anticipates and responds to the needs of the department.
Assist ADNS with interviewing, directing, and training new staff. Works with ADNS on employee disciplinary actions.
Participates in facility committees as applicable to the department. Maintains performance improvement programs to obtain objective data for overall analysis and to develop improved methods of care in both the hospital and ER setting. Incorporates the Magnet Model in transforming the work environment and quality of nursing care. Provides any reports as needed for DNS and/or ADNS.
Organizes ongoing communication with the interdisciplinary team, regarding aspects of patient/resident care and department functions. Maintains and displays an appropriate degree of clinical expertise as a Registered Nurse.
Maintains department schedule and is responsible for review of employees time-cards. This is a working supervisor: (2) 12 hour floor shifts and (2) 8 hour office shifts. Accepts on-call responsibilities as required. Works in conjunction with ADNS to help cover sick calls and/or vacations.
Maintains competency in all organizational, departmental, and outside agency environmental, employee or patient's safety standards relevant to job performance.
Responsible for coordinating resources and activities necessary to ensure that the case management services meet regulatory requirements. Develops and reviews policies and procedures related to case management. Serves as a liaison to work with regional and community hospitals for continued care of patients.
- Partakes in referral process involving skilled patients, monitors care from admission to discharge, assists in transition of cares, and is an active member in multidisciplinary rounds.
- Responsible for monitoring re-admission data to the ER and hospital. Utilize data found to help improve quality of care provided and assess for community needs.
- Performs other duties as assigned or needed to meet the needs of the department/organization.
KNOWLEDGE, SKILLS AND ABILITIES
KNOWLEDGE OF:
- Roundup Memorial Healthcare policy and procedures, both organizational and departmental
- Patient safety standards
- Clinical and financial information systems for patient care areas
- Health care environments and trends as it relates to nursing
- Budgeting and fiscal control
- Evidence based nursing practice
- General knowledge of RMH policies and procedures, both organizational and departmental
- Regulatory standards (e.g., State survey, OSHA, CMS, etc.)
- RMH Code of Business Conduct
- RMH Corporate Compliance Program
- HIPAA and confidentiality requirements
- Patient/resident rights and abuse recognition/reporting requirements
- Customer service techniques and skills
- Infection control and safety practices, policies, and procedures
- RMH safety and hazardous material policies and procedures
- Patient safety standards
- Nursing practices, planning and assessment within scope of practice
- American Nurse’s Association (ANA) Code of Ethics
- Knowledge to read and interpret documents such as laboratory and x-ray reports, physician orders, history and physical, Patient/Resident Care Standards.
- Teamwork skills
- Personal computers, hardware and software
SKILL IN:
- Application of leadership and management principles
- Conflict resolution
- Basic written and clear oral communication skills and interviewing skills
- Interpersonal skills necessary in order to instruct and comfort patients/residents and their families and maintain effective contacts with a variety of hospital personnel and providers
- Analytical skills necessary in order to prepare evidence-based nursing care plans, coordinate and implement effective nursing care and to develop solutions to problems concerning patients/residents mental or physical well-being
- Demonstrates competency in basic computer skills through the capacity to learn and apply electronic applications
ABILITY TO:
- Incorporate cultural diversity and age appropriate care into all aspects of communication and patient care; scope of services provided will encompass age groups ranging from infant through geriatric
- Establish and maintain effective working relationships
- Interpret policies and procedures; identify non-compliance and initiate appropriate action
- Utilize time management concepts to maximize time effectively
- Interpret and direct clinical and financial directives/services
- Analyze departmental needs and initiate corrective action as appropriate
- React calmly and professionally when dealing with sensitive, difficult and/or emergent situations
- Maintain flexibility to adapt to a variety of workload assignments, often with competing priorities and meet required timeframes/deadlines
- To lift, push and pull up to 50 pounds unassisted (25 pounds limit in LDRP)
- Work effectively with nursing, allied health and medical personnel
- Concentrate and pay close attention to detail when planning and performing professional nursing care, resolving patient/resident care problems and dealing with patients/residents and their families, while working with frequent interruptions and competing priorities
- To problem solve in the delivery of patient/resident care, changes in patient/resident status, and changes in staffing patterns.
- To perceive potential problems and respond proactively. Ability to comprehend instructions in written, verbal, or diagram, form and carry them out.
- To modify care based on the developmental/functional age of the patient/resident as well as that of the patient’s/resident’s ethnic background.
- Act as a patient/resident advocate. Ability to interact with patients/residents, families, visitors, co-workers.
- Ability to interact respectfully and tactfully when dealing with conflict and in group problem-solving activities.
- Ability to demonstrate a professional, open-minded approach in identifying problems and resolving problems/conflicts.
- Ability to learn and apply electronic medical applications.
COMPLEXITY & DIFFICULTY:
- Decisions regarding human resource management may have legal implications.
- Decisions regarding budgeting and fiscal control have a direct impact on the financial viability of the organization.
- Responsible for assessing and making recommendations/decisions regarding the quality and safety of patient/resident care. Acts as a resource to staff, other health care providers, patients/residents and family members.
- Must develop and maintain sound, collaborative working relationships with interdisciplinary team. Responsible for the supervision and coordination of a patient care area with operations 24 hours a day, 365 days a year.
- Responsible to practice within scope of licensure as a Registered Nurse.
- May be required to work on varied nursing units for varying periods of time
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MINIMUM QUALIFICATIONS
- Graduate of an accredited school of nursing as a Registered Nurse,
- Bachelor of Science in Nursing (BSN) or Bachelor of Arts in Nursing (BAN), preferred
- Current Montana state license as Registered Nurse
- Clinical nursing experience relevant to area of service
- Demonstration of progressively more responsible duties and/or previous supervisory experience, preferred
- Four (4) years of nursing experience in medical/surgical or in specialty clinical area preferred
- Healthcare Provider CPR Certification required
- TNCC/ENPC, ACLS, and PALS Certifications or the ability to obtain within one (1) year of hire
- This job requires use of respiratory protection which will require respirator fit testing and medical clearance to wear a respirator.
- Other certifications as may be required by specialty area
- An equivalent combination of education and/or experience relating to the above tasks, knowledge, skills and abilities maybe considered.
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WORKING CONDITIONS
- Normal patient/resident care environment in critical access hospital and emergency department
- Utilization of personal computers and information systems
- This job requires use of respiratory protection which will require respirator fit testing and medical clearance to wear a respirator.
- Participates in on-call rotations for night, weekend and/or holiday support.
- The employee is subject to inside and possibly outside weather conditions.
- The employee is also subject to exposure to blood and body fluids, proximity to moving mechanical parts, electrical shock, exposure to burns and radiant energy, exposure to explosives, exposure to toxic chemicals and biological agents.
Blood Borne Pathogen Category: Category I: Tasks that involve exposure to blood, body fluids or tissues.
Airborne Contaminant Category: Category I: Tasks that routinely require activities that may involve exposure to airborne contaminants.
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.
While filling this position, the employee must regularly lift and or move 10 pounds and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision, and depth perception. This position also requires walking or standing to a significant degree. This position also requires reaching, handling, feeling, talking, hearing, stooping, bending, crouching, and working with equipment.
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PREPARED ON: January 6, 2022
REVIEWED AND ACCEPTED:
Effective Date:
Management:
The above is intended to describe the general content of and requirements of the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.
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ACKNOWLEDGEMENT:
I understand Roundup Memorial Healthcare cannot guarantee my employment and that this facility can change wages, benefits, and conditions of employment at any time.
I certify I have received, read, and understand my job description.
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Signature of Employee Date
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Free parking
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Relocation assistance
- Retirement plan
- Vision insurance
Medical specialties:
Schedule:
Work setting:
Work Location: In person