CASE MANAGER - RN

Case Manager

Part time - 32 hours per week - benefit eligible

Job Summary: The Case Managers are experienced Registered Nurses who interact with the patient, families, physicians and other members of the interdisciplinary team to facilitate quality and cost effective care. An essential component to all roles includes the evaluation of medical necessity and intensity of service of each admission to arrive at decisions regarding medical appropriateness for the requested level of care. Communicates with the various payers/insurance companies to authorize services and ensure appropriate reimbursement to the facility. Actively promotes collaboration among all interdisciplinary care providers, including physicians to effectively identify needs for continued inpatient care or appropriate alternate levels of care. There is coordination to affect an appropriate discharge plan with the Case Managers ensuring arrangements of placement/services upon discharge. Assist to identify and make efforts to correct delays in services, fragmentation of care and gaps in communication. Patient outcome monitoring and participation in continuous performance improvement are also requirements in this role.

Education Minimum: Graduate of a Registered Nurse Program Preferred: Bachelor Degree in Nursing

Registration/Certification/Licensure: Current PA RN license Preferred: Healthcare Provider CPR

Experience Minimum: Three years recent clinical experience. Preferred: Managed care or previous Case Management/Utilization Review experience.

Other Requirements: Excellent communication skills and skills in customer service. Demonstrates leadership ability. Commitment to the delivery of quality patient care with the ability to develop and maintain effective, professional relationships with all members of the health care team.

Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise noted: Occasional: (0-1/3 of day, 0 - 2.5 hrs/day, 1 - 4 reps/hr) Frequent: (1/3 -2/3 of day, 2.5 - 5.5 hrs/day, 5 -24 reps/hr) Constant: (> 2/3rd of day, > 5.5 hrs/day, > 24 reps/hr) NOTE: An asterisk (*) indicates that the item is an essential function.

Non-Material Handling Standing* - Remaining on one's feet in an upright position remaining stationary.

Frequent Walking* - Remaining upright on one's feet, and moving about.

Frequent Sitting * - Body remains in a seated position.

Occasional Stooping - To bend the body downward and forward by bending the spine at the waist.

Occasional Bending - To flex the upper body forward.

Occasional Twisting - To rotate the upper body forward.

Not Applicable Climbing - To move the body in any direction on equipment or structures that do not include stairs or ladders.

Not Applicable Ladders - To ascend and descend ladders.

Frequent Stairs - To ascend and descend stairs.

Occasional Kneeling - To move the body downwards and come to rest on both hands and both knees.

Occasional Squatting - To move the body downwards by bending both knees.

Occasional Crouching - To bend the body forward and downward by bending the spine and the legs.

Not Applicable Crawling - To move the body forward or backwards on hands and knees.

Occasional Reaching Horizontal - To extend the arms and hands outward, remaining under shoulder height.

Occasional Reaching Overhead - To extend the arms and hands up and out over shoulder height.

Constant Grasping - Using functional gripping of the hand to handle an object.

Constant Finger Manipulation - To manipulate objects with the use of fingers.

Constant Seeing - Using visual feedback to accomplish a task or activity.

Constant Hearing - Using sound feedback to accomplish a task or activity

Constant Repetitive Upper Extremity Use - Using the arms and/or hands continuously or more than 2/3 of the total time.

Constant Repetitive Lower Extremity Use - Using the legs and/or feet continuously or more than 2/3 of the total time.

Constant Material Handling Pushing* - To exert a force upon an object in order to move it in a certain direction. Pushing refers to moving an object away from the person. Constant Up to 20# Pulling* - To exert a force upon an object in order to move it in a certain direction. Pulling refers to moving an object towards the person. Constant Up to 20# Lift - Floor to waist Constant Up to 20# Lift - Waist to shoulder Constant Up to 20# Lift - Shoulder to overhead Constant Up to 20# Carrying - To transport an object or article using the arms or hands (> 10 feet) Constant Up to 20# Environmental Factors Working alone - Occasional Working in cramped quarters - Frequent Constant interruptions * - Constant Working with hands in water - Not Applicable Use of power tools - Not Applicable Working on ladders/scaffolding - Not Applicable Exposure to vibration - Not Applicable Exposure to dust - Not Applicable Exposure to noise (constant) - Not Applicable Exposure to electrical energy (outlets, etc) - Not Applicable Exposure to temperature changes (heat, cold, humidity), that require special clothing - Not Applicable Exposure to slippery walking surfaces - Not Applicable Exposure to solvents, grease, oils - Not Applicable Exposure to radiant energy, i.e. computer terminal (more than 4 hours per shift) * - Constant Working with bloodborne pathogens - Not Applicable Cardiovascular Energy Requirements - Physical Demand Physical Demand Met Level Examples of similar activity intensity Sedentary to Light 0 - 3.5 Light house cleaning, washing dishes, serving food, food shopping, sitting, standing, computer work. Medium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs). Heavy to Very Heavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailing hay, fire fighting, sawing by hand, splitting wood. As relates to this position: Sedentary to Light - Constant Medium - Not Applicable Heavy to Very Heavy - Not Applicable

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.