POSITION: Case Manager EFFECTIVE
JOB CODE: 10-106 REVISED:
7/09, 11/11/11; 2/27/12
VP/Chief Financial Officer VP Human Resources
I. Reports To: 1. The Case Manager reports directly to
of Case Management.
2. The Case Manager works in collaboration with other
healthcare team members.
II. FUNCTION: Collaborate with and serve as an expert resource to the
healthcare team to enhance the delivery of patient care services. Efficiently
coordinate patient needs to assure high quality patient care, reduce length of
stay and resource utilization and ensure reimbursement drawing on a broad
clinical and systems management knowledge base.
III. QUALIFICATIONS: 1.
Current West Virginia
Licensure as a Registered
2. BSN required or willing to pursue within one
3. Two to three years of experience in a
4. Ability to direct problems to
or departments for resolution.
5. Possess strong combination of
and organization skills.
Strong interpersonal skills are required for
Case Coordinator to successfully work
families, physicians, Case Manager, and
healthcare team members.
and critical thinking skills to facilitate the Interdisciplinary Plan of Care
and develop solutions to problems concerning patients’ mental and physical
8. Ability to be scheduled for
work based on
of the department/hospital.
the ability to deal tactfully and
healthcare team and guests.
IV. Age of Patients
__X__ Infant: Birth 1 Years (Acute Care)
__X__ Pediatric: 1 + 12 years (Acute Care)
__X _ Adult: 13 – 65 years
_ X__ Geriatric: 65 +
__ __ No daily direct patient care contact
V. PRINCIPAL DUTIES
A. ORGANIZATIONAL TEAMWORK COMPETENCIES
1. To support the mission of CCMC as follows: To
meet the healthcare
needs of our
community for a lifetime.
2. The core values of CCMC represents the beliefs of our organization,
processes and decision making at all levels.
accomplished through a commitment to our core values.
Values based care recognizes the importance of quality customer
(Service Excellence Standards) to patients and employees.
In the context of customer service, each employee has the following
(dimensions of performance) as an individual and health
B. ORGANIZATIONAL SUPPORT COMPETENCIES
Demonstrates knowledge of and ability to follow / attendance /
/ time card system / scheduling policies.
Demonstrate knowledge of parking / hospital department
Demonstrate knowledge and adheres to dress code.
4. Demonstrates knowledge of CCMC Compliance
Program / Code of
5. Demonstrates knowledge of CCMC Emergency
the following codes:
a. Code Blue
b. Code 1 (Assault)
c. Code Utility (Utility
d. Code Red (Fire)
e. Code Weather (inclement weather)
f. Code Gray
g. Code Amber & Code Walker
h. Code Orange (Hazmat)
i. Code Black (Bomb Threat)
Demonstrates knowledge of physical health / wellness
and Exposure Control Plan.
Demonstrates knowledge of Office/workplace safety.
Demonstrates knowledge of Risk Management / Occurrence Report
Non-punitive Work Environment.
Clinical (or Work)
1. Facilitates coordination and
timely implementation of comprehensive, individualized plan of care, in
collaboration with patient, family, physician, and interdisciplinary team
2. Utilizes the nursing process
to prescribe, delegate, and evaluate the nursing care rendered
3. Collaborates with the
medical staff and serves as a expert resource
regarding documentation, application of appropriateness criteria, alternate
levels of care, patient classification, and denial information.
discharge planning occurs in a timely manner including: coordination of patient
transfers/discharge to alternate care facilities including rehab, nursing home,
personal care home, or skilled nursing facility. Communicates with patient and
family regarding discharge needs.
Delegates and evaluates the delivery of patient care given by
other members of the health care team and ancillary
Participates in self-evaluation and develops a plan for
professional development based on personal
Cognizant of environmental
factors, infection control issues
maintains a safe environment for patient care.
4. The Case Manager facilitates implementation of the
interdisciplinary plan of care to ensure efficient use of
time, and financial
Accountability / Leadership
Participates in the education / oversight of orientees,
staff, and students in collaboration with the
and/or designated education coordinator (CNS
Active on selected committees for the purpose of exchanging
and participating in problem solving methods.
3. Arranges own knowledge base and development
by attending formal
informal educational activities.
Assists in identifying problems for investigation, collecting
research projects and applying current concepts to
5. The Case Manager demonstrates
knowledge of unit/department
continuum indicators and ability to collect and analyze
data related to those indicators.
6. The Case Manager functions as a professional role
and clinical resource
to unit staff, ancillary staff, and
VI. DESCRIPTION OF
following items under physical demands, psychological demands,
work demands and
exposure category describe the basic extent of
performed by staff in this position.
attached Physical Demands
NOTE: Reasonable accommodations may be made to
enable individuals with disabilities
to perform the essential functions of this position.
The above job description is
intended to describe the general content of and broad competencies for the
performance of this job and the performance standard on how to meet the broad
compliance. It is not to be construed as
an exhaustive statement of duties, responsibilities, or requirements.
Employee Number / Employee Name (PRINT)
Employee Signature / Date
the job time is spent in the following physical activities and psychosocial
AMOUNT OF TIME
Kneel, Crouch, Crawl
hands to finger handle or feel
with hands and arms above / below:
Lift / Force
to 10 pounds
to 25 pounds
to 50 pounds
to 100 pounds
than 100 pounds
Heavy Lifting Regular Basis
Heavy Lifting Occasional / Moderate Lifting Regular
Moderate Lifting Occasional/Light Lifting Regular Basis
Light Lifting Occasional / No Lifting Regular Basis
of Electrical Shock
- Hearing Ability to hear alarms on equipment /
Ability to hear Client Call
Ability to hear instructions from
Exposures Category 1 = Tasks that
involve exposure to blood, body fluids, or tissues
2 = Tasks that
involve no exposure to blood, body fluids or tissues but employment may require
unplanned category 1 tasks
3 = Tasks that
involve no exposure to blood, body fluids or tissues, and category 1 are not a
condition of employment.
A list of Hazardous Products or Substances
that this position is required to work with are referenced for staff
review. MSDS information is available.