MANIILAQ ASSOCIATION
11/18
Title: Inpatient Services Case Manager Range: 16
Program: Inpatient Services Status: Non-Exempt
Housing Priority: 3 Covered: Yes
POSITION SUMMARY
The Inpatient Services Case Manager will promote health care delivery across the continuum that will enhance the client’s quality of life, decrease frequent ER visits and multiple admissions in are effort to efficiently utilize resources and contain costs. They will provide resource support to the ED and Inpatient care team. The Inpatient Services Case Manager will use a process that includes screening and case finding, comprehensive multidimensional assessment, discharge planning, and integration with social work to connect with available resources and ongoing monitoring and reassessment. This position reports directly to the Inpatient Manager.
PRINCIPAL DUTIES AND RESPONSIBILITIES
1. Works in coordination with the Outpatient Manager, Inpatient Manager and Clinical Coordinator ED to develop, implement, and maintain the Case Manager Position according to the program goals and objectives.
2. Identifies, develops and maintains a current resource database of federal, state, community, and institutional resources.
3. Attends team conferences and networks for relationship building and resource development.
4. Provides case management services for Inpatient and ER. Assists Outpatient case management in down time.
5. Investigates individuals with multiple ED visits and/or frequent readmissions to the inpatient unit; uses the Nursing Process to assess care needs and assist with meeting these needs with respect to the individual and family/caregiver that is consistent with cultural, social and psychological requirements, through an interdisciplinary, collaborative team approach with a goal of improving adherence to the plan of care for the client.
6. Understands the developmental needs of all ages of patient throughout the continuum of life and is able to adjust care plan to those needs. Recognizes the total individual inclusive of medical, psychosocial, behavioral and spiritual needs. Documentation reflects this understanding.
7. Monitors discharged patient’s progress towards meeting discharge goals, understanding medication changes and follow up needs by calling these patients at 48/72 hours after discharge and approximately 30 days after discharge to determine condition and ongoing needs, thus improving the client’s safety and satisfaction. Works with the Case Management and OPD Program, Med staff and community resources to assist with identified needs with a goal of moving the client to self-care, improving medication reconciliation and reducing dependence on inpatient and ER usage.
8. Works referrals to outpatient resources, such as OPD, ANMC, etc.
9. Establishes, participates in, and evaluates program improvement goals such as patient outcomes, cost savings, patient compliance, patient experience and productivity, through the use of standardized tools and proven processes.
10. Works with other care teams including Social Services, ANMC, CHAPs, LTC, Utilization Review, and OPD as needed to minimize fragmentation of care within our health care delivery system; expanding the interdisciplinary team to include the client, their support system and primary health care providers.
11. Coordinates with nurse managers to collect and assess data with a goal towards improved patient outcomes.
12. Provides Discharge Planning as needed to focus on transitions of care including a complete transfer to the next care setting in a safe, effective, timely and complete manner. Understands resources for safe discharge planning.
13. Provides appropriate communication with others on the team as the need arises and sets up family conferences for admissions anticipated to have barriers to discharge.
14. Maintains professional ethical standards of conduct at all times.
15. Demonstrates a positive customer service attitude at all times.
16. Utilizes team building principals and problem solving skills in the on-going quality improvement initiatives.
17. Documents the discharge plan and updates the electronic health record.
MINIMUM QUALIFICATIONS
An Associate or Diploma in Nursing from an Accredited College. Current licensure as a Registered Nurse in the State of Alaska with at least two years of Med/Surg or Emergency Room experience. Case Management experience preferred. Must be able to pass the core competencies assigned to this position and maintain the educational requirements of the program. Obtains case manager certification (must apply to test) within two years of hire, or as soon as allowed to test. Ability to utilize various computer programs, including EHR/RPMS, Microsoft Word, Excel, iCare, AFHCAN, and Cerner. Demonstrates a wide theory base and sound clinical skills in order to interact in an effective manner with physicians, health team members, community agencies, and clients/families with diverse opinions, values, religious and cultural ideals. Ability to work autonomously with little direction and be directly accountable for your practice. Demonstrates leadership qualities including time management, verbal and written communication skills, problem solving, decision making, priority setting, work delegation, and work organization. Employee may be exposed to communicable diseases and hazardous materials.
DISCLAIMER
The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be considered an exhaustive list of all responsibilities, duties and skills required of personnel in this job, and the employer reserves the right to revise or change this description. This description does not constitute a written or implied contract of employment. To perform this job successfully, an individual must be able to satisfactorily perform each of the above essential duties and meet physical demands. Reasonable accommodations may be made to enable individuals with disabilities to meet those conditions.
