Case Manager

Job Summary

The RN Manager of Case Management position at Shannon Medical Center is an evolving role that coordinates, negotiates, procures services, and resources for and manages the care of complex patients to facilitate achievement of quality and cost-efficient patient outcomes. The RN Manager of Case Management will work collaboratively within the organization with a goal of evaluating and managing clinical outcomes.

Supervises the Following Positions

Positions: RN Case Managers, CM Technicians


Physical Requirements

• The ability to perform the duties and responsibility of the position, with or without reasonable accommodations for disabilities.
• The ability to consistently lift, push or pull loads of up to fifty (50) pounds. (Unless nursing 50)
• Sufficient strength, mobility and stamina to make frequent location and position changes, assist with patient care, and perform other physical activities of average difficulty.
• Candidates whose disabilities make them unable to meet the requirements will still be considered fully qualified if they can perform the essential functions of the job with reasonable accommodations.
• May be exposed to infectious or contagious disease.
• May have to handle emergency situations.
• May be subject to irregular hours.
• May be required to wear protective equipment such as eye protection, face protection, masks, sterile/nonsterile gloves, isolation gowns.
• May be exposed to toxic/caustic/chemicals/detergents.
• Physical activities include continuous sitting, and occasional walking, standing, bending, squatting, climbing, kneeling and twisting.
• Activity Conditions (Occasionally, Frequently, Continuously):
  • Sitting- Continuously
  • Walking- Occasionally
  • Standing- Occasionally
  • Bending-Occasionally
  • Squatting- Occasionally
  • Climbing-Occasionally
  • Kneeling-Occasionally
  • Twisting-Occasionally

Visual and Hearing Requirements

• Must be able to see with corrective eye wear.
• Must be able to hear clearly with assistance

Working Conditions

Primarily Works in a well-lighted and air-conditioned environment with period of heavy workload and stress. This role may include working in less-than-ideal home conditions, which can include exposure to extreme temperatures and environments that may not meet typical cleanliness standards such as clutter, unkept surfaces, and homes with pets. Works in various conditions.


Performance: Essential Functions

Decision Making: Ability to make decisions and takes appropriate action based on the information they have. Recognizes own limitations and consults with the supervisor, manager, or team member when appropriate.

Time Management: Works efficiently and manages duties to ensure that tasks are completed with accuracy and within the scheduled shift or reasonable amount of time.

Quality & Quantity: Demonstrates accurate, knowledge and skill to carry out job duties. Follows departmental work policies and procedures. Speed and consistency of output, and time utilization of job duties.

Computer Knowledge & Electronic Equipment Use: Demonstrates ability to consistently utilize electronic equipment and online computer programs to perform job duties, including electronic documentation, and order entry.

Resource Utilization: Consistently utilizes and maintains supplies and equipment to minimize lost charges and unnecessary equipment repair-replacement.

Confidentiality: Adheres to established policies on privacy and security requirements for compliance with the Health Insurance Portability and Accountability Act (HIPAA), as applicable by Shannon Policy.

Performance: Position Specific Essential Functions

• Assures delivery of quality services for patients, consults with medical, nursing and administrative staff as necessary. Develops new techniques to meet current needs. Identifies problems related to clinical practice or operating procedures and develops appropriate plan of correction. Identify opportunities to improve patient care processes and introduce new innovations in nursing practice. Manages case load and staff hours to meet the needs of the patients and hospital. Monitors data to ensure appropriate patient care standards are met; identify trends and implements. interventions to achieve the clinical outcomes established for the unit(s). Reviews department performance, effects changes as needed to improve services to assure compliance with regulatory requirements.
• Collects statistical data as required. Completes assignments and projects as assigned in a thorough and timely manner; participates on Hospital committees and contributes to new Organizational initiatives and changes. Develops and maintain records and reports. Develops and recommend department operating budget and ensures operation within budget. Develops goals and objectives for department. Develops unit budget in accordance with established financial and operating assumptions. Monitors budget performance and provides detailed information and action plans for variances on MOR's and SRA's. Directs unit-based quality assurance and improvement activities; participates in organization-wide quality assurance and improvement activities; coordinates intra- and inter- departmental operations in a manner that promotes quality improvement and cooperation. Encourages team building and employee participation in operational activities. Ensures that all regulatory and accreditation standards are met, and organizational policies and procedures are followed. Establishes a system for charging and billing. Establishes and maintains safety, infection and environmental control policies and procedures for the department. Evaluates and justifies equipment and supply needs and purchases; plans for use of space and new equipment. Implements and directs actions to address issues that are identified by survey presented either through Press Ganey, Internal Survey or Employee Satisfaction Survey. Institutes methods for measuring and managing patient, staff, and physician satisfaction to meet targeted goals; immediately intervenes on complaints after notification of such. Involves staff in process improvement. Keeps administration informed of departmental activities, needs and problems. Maintains department facilities and equipment to promote efficiency, health, comfort and safety of patients and staff. Maintains department reports, records and collects statistics for administrative and regulatory purposes. Makes recommendations regarding capital expenditures. Negotiates and documents maintenance schedules. Plans, organizes, and directs department activities for the treatment of patients.
• Develops standards of performance and supervises staff. Establish efficient position control for unit(s); interview and hire appropriate number and type of staff to maintain effective unit operations. Evaluates performance, initiates and/or makes recommendations. Follows policies and procedures as established by Human Resources regarding disciplinary actions, merit increases. Initiates personnel actions (promotions, transfers, disciplinary actions, merit increases, and terminations) and collaborates with HR to complete transactions in a timely manner and in accordance with policies and procedures. Prepares/approves monthly master schedule and makes decisions regarding day-to-day staffing in a manner that provide appropriate staffing levels within targeted budget and productivity standards. Provide individualized staff development plans consistent with the goals for advancing unit performance and staff member's individual developmental needs. Provide supports for assimilating new staff into the unit(s). Develop plans for cultivating effective teamwork and take action to maintain a positive work environment. Selects, trains, orients, and assigns personnel and staff. Supervise performance of unit staff on a day-to-day basis and provides ongoing feedback to employees. Complete all performance evaluations in an objective and timely manner; develop methods to acknowledge exceptional performance; provide corrective actions according to policy to immediately address problematic performance issues.
• Develops and maintains quality assessment records and techniques of the department. Directs unit-based quality assurance and improvement activities; participates in organization-wide quality assurance and improvement activities; coordinates intra- and inter-departmental operations in a manner that promotes quality improvement and cooperation. Ensures that the department is represented in conferences and hospital committees. Evaluates all reporting methods. Institutes methods for measuring and managing patient, staff, and physician satisfaction to meet targeted goals; immediately intervenes on complaints after notification of such. Introduces and demonstrates new techniques, new equipment, and research findings to the staff. Meets regularly with nursing staff for clinical care conferences. Sees that reports are submitted on a timely basis.
• Creates a professional work environment in terms of the level of practice, quality of teamwork, physical environment, overall morale. Maintains involvement in professional activities and organizations outside Shannon. Manages conflict and change in a positive and constructive manner. Serves as a role model for professional behavior in terms of, interpersonal interactions, decision-making, dress, appearance, and overall conduct.
• Performs other duties as assigned.

Qualifications

Education

• Required
  • High School Diploma, GED, or equivalent
  • Completion of an accredited nursing program
  • Associate's degree in Nursing

• Preferred
  • Bachelor's degree in Nursing
  • Master's degree in Nursing

Experience:

• Required
  • 2 years of Hospital Case Management
• Preferred
  • 5 years of Clinical/Bedside Nursing (RN)
  • 2 years as Charge Nurse/Managerial

Certification/Licensure:

• Required
  • Registered Nurse (RN), with authorization to Practice in the State of Texas
  • Basic Life Support (BLS) Certification
    • Must obtain within ninety (90) days of start date
  • Case Management Certification
    • Must obtain within one (1) year of start date