MANIILAQ ASSOCIATION

11/24

Title: Pediatric Case Manager                                                                                    Range:   16

Program:  Outpatient Services                                                                                  Status:   Non-exempt                Housing Priority:      3                                                      Covered:  Yes

POSITION SUMMARY

The Pediatric Case Manager will promote health care delivery across the continuum that will enhance the client’s quality of life, decrease fragmentation of care, while efficiently utilizing resources and containing cost. They will provide resource support to the Case Management Team in their particular assigned area of Pediatrics. The Pediatric Case Manager will use a process that includes screening and case finding, comprehensive multidimensional assessment, care/discharge planning, connection with available resources, implementation of the plan, and on going monitoring and re-assessment. The plan sets goals and time frames for achieved goals that are appropriate to the individual and his/her family and are agreed upon by the family and the treatment team. Reports directly to the Outpatient Service Manager.

PRINCIPAL DUTIES AND RESPONSIBILITIES

1.                   Works in coordination with the Outpatient Services Program Manager to develop, implement, and maintain the Case Management Program 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.                   Researches, secures, and maintains funding for Grants or other funding sources related to their assigned specialty focus.

5.                   Engages in professional development activities to keep abreast of state of the art of Case Management practices especially related to their specialty focus.

6.                   Conducts screening assessments for appropriate case management clients.

7.                   Using the Nursing Process; Develops, implements, monitors and modifies a plan of care for and with the individual and family/caregiver consistent with cultural, social, and psychological requirements, through an interdisciplinary, collaborative group practice approach.

8.                   Understands the developmental needs of all ages of patients throughout the continuum of life. Is able to adjust care to those needs. Documentation reflects that understanding.

9.                   Monitors the clients’ progress toward goal achievement with periodic reassessments of changes in health status.

10.                Provides tracking and follow-up of abnormal test results in collaboration with provider team concept.

11.                Supports and participates in teaching and training to expand services and increase public awareness of chronic disease prevention and control.

12.                Develops standards, policies, procedures, and protocols to support nursing case management practice.

13.                Helps to maintain referrals to individual Specialty Clinics, including scheduling and assisting doctors with procedures during scheduled clinic hours.

14.                Operates and monitors specialized equipment.

15.                Makes appointments and/or referrals for patients to see Specialty Clinic physicians.

16.                Establishes, participates in, and evaluates program improvement goals such as patient outcomes, cost savings, patient compliance, and return to productivity.

17.                Coordinates and facilitates health promotion, illness and disability prevention, and health education activities.

18.                Maintains professional ethical standards of conduct at all times.

19.                Demonstrates a positive customer service attitude at all times.

20.                Utilizes team building, problem solving skills, and lean principles, in the on-going quality improvement initiatives.

MINIMUM QUALIFICATIONS

Current licensure as a Registered Nurse in the State of Alaska (BSN preferred) with at least two years Med/Surg/Pediatric experience and additional Case Management experience preferred. Must be able to pass the core competencies assigned to this position and maintain the educational requirements of the department. Ability to utilize various computer programs, including EHR, Microsoft Office, and Excel database programs. 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, and religious and cultural ideals. Ability to work autonomously with little direction and be directly accountable for practice. Demonstrates leadership qualities including time management, verbal and written communication skills, problem solving, decision making, priority setting, work delegation, and work organization. Ability to lift up to 70 pounds and spend long periods of time standing or walking. 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.