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REPORTS TO: Case Management Services Manager LOCATION: WAH FSLA STATUS: Exempt
POSITION RESPONSIBILITIES:
The Case Manager (CM) evaluates medical care alternatives for cases of illness, injuries or medical/surgical diagnoses that require extensive services. These cases may require acute rehabilitation, in-patient hospitalization, or preventive care in an attempt to avoid future complications or admissions. The role of the CM is to facilitate quality health care by decreasing fragmentation, enhancing patient's quality of life, while containing costs, resulting in more effective outcomes. The CM will foster positive working relationships, both within StarPoint and with StarPoint's external customers.
The incumbent is expected to communicate professionally with peers, supervisors, subordinates, vendors, customers, and the public, and be respectful and courteous in the conduct of this position.
ESSENTIAL JOB FUNCTIONS:
Essential job functions include the following. Other functions may be assigned as business conditions change.
1. The Case Manager will:
2. The Case Manger must communicate, verbally and in writing, clearly and effectively with team members, patients, patients' families, health care providers, physicians and customers, both "internal and external."
3. The essential job functions identified below will be evaluated through peer review, discussions with HealthCare Advisors, and random file review by the supervisor to ensure that all QA requirements are met.
4. The Case Manager must promote nursing professionalism:
5. The Case Manager organizes work load and contributes time and efforts to the team work load and responsibilities as evidenced:
6. The Case Manager must be able to operate a personal computer, copier, fax machine, and telephone. Must be able to access, research, and extract information from printed resources, computer terminals, medical records, and telephone interviews on a daily basis. This will be evidenced by demonstration of skills during random observations.
NON-ESSENTIAL JOB FUNCTIONS:
1. Preparation of forms, faxing, copying.
2. Organization of files and reference materials.
3. Ability to operate typical office equipment and working knowledge of basic office principles.
PHYSICAL WORKING CONDITIONS:
Physical requirements are representative of those that must be met to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities
to perform the essential functions.
JOB SPECIFICATIONS:
To perform this position successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
RN Licensure and three (3) years clinical practice experience
Certified Case Manager certification required, may be obtained after hire date.
Other Experience: Must possess organizational skills and the ability to prioritize multiple tasks, attend to detail and follow through to completion.