Case Manager – 100633 – Parkersburg, WV

Performance Standards

POSITION: Case Manager EFFECTIVE

DATE: 7/8/08

DEPARTMENT: Case

Management REVIEWED:
JOB CODE: 10-106 REVISED:
7/09, 11/11/11; 2/27/12

2/27/13

VP/Chief Financial Officer VP Human Resources

I. Reports To: 1. The Case Manager reports directly to

the Director

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

Nurse required.

2. BSN required or willing to pursue within one

year of

hire.

3. Two to three years of experience in a

hospital

environment, preferred.

4. Ability to direct problems to

appropriate

individuals

or departments for resolution.

5. Possess strong combination of

clinical,

communication,

and organization skills.

6.

Strong interpersonal skills are required for

Case Coordinator to successfully work

with

patients,

families, physicians, Case Manager, and

other

healthcare team members.

7. Analytical

and critical thinking skills to facilitate the Interdisciplinary Plan of Care

and develop solutions to problems concerning patients’ mental and physical

well-being.

8. Ability to be scheduled for

work based on

operational needs

of the department/hospital.

9. Possess

the ability to deal tactfully and

harmoniously with

healthcare team and guests.

IV. Age of Patients

Population Served

__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

AND RESPONSIBILITIES

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,

guiding our

processes and decision making at all levels.

The

mission is

accomplished through a commitment to our core values.

3.

Values based care recognizes the importance of quality customer

services

(Service Excellence Standards) to patients and employees.

4.

In the context of customer service, each employee has the following

expectations

(dimensions of performance) as an individual and health

care team

member.

B. ORGANIZATIONAL SUPPORT COMPETENCIES

1.

Demonstrates knowledge of and ability to follow / attendance /

punctuality

/ time card system / scheduling policies.

2.

Demonstrate knowledge of parking / hospital department

locations.

3.

Demonstrate knowledge and adheres to dress code.

4. Demonstrates knowledge of CCMC Compliance

Program / Code of

Conduct /

Confidentiality.

5. Demonstrates knowledge of CCMC Emergency

Management Plan

including

the following codes:
a. Code Blue

(Cardiac Arrest)

b. Code 1 (Assault)

c. Code Utility (Utility

failure)

d. Code Red (Fire)

e. Code Weather (inclement weather)

f. Code Gray

(Hostage Situation)

g. Code Amber & Code Walker

h. Code Orange (Hazmat)

i. Code Black (Bomb Threat)

6.

Demonstrates knowledge of physical health / wellness

information

and Exposure Control Plan.

7.

Demonstrates knowledge of Office/workplace safety.

8.

Demonstrates knowledge of Risk Management / Occurrence Report

Practices /

Non-punitive Work Environment.

C.

WORK

ROLE COMPETENCIES

Clinical (or Work)

Practice

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.

4. Facilitates/ensures

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.

Administrative

Practice

1.

Delegates and evaluates the delivery of patient care given by

peers,

other members of the health care team and ancillary

staff.

2.

Participates in self-evaluation and develops a plan for

professional development based on personal

goals/unit

goals/strategic plans.

3.

Cognizant of environmental

factors, infection control issues

and

maintains a safe environment for patient care.

4. The Case Manager facilitates implementation of the

interdisciplinary plan of care to ensure efficient use of

personnel,

time, and financial

resources.

Professional

Accountability / Leadership

1.

Participates in the education / oversight of orientees,

ancillary

staff, and students in collaboration with the

preceptor, manager,

and/or designated education coordinator (CNS

/CSE).

2.

Active on selected committees for the purpose of exchanging

information

and participating in problem solving methods.

3. Arranges own knowledge base and development

by attending formal

and/or

informal educational activities.

4.

Assists in identifying problems for investigation, collecting

data for

research projects and applying current concepts to

patient

care.

5. The Case Manager demonstrates

knowledge of unit/department

PI and

continuum indicators and ability to collect and analyze

data related to those indicators.

6. The Case Manager functions as a professional role

model

and clinical resource

to unit staff, ancillary staff, and

students.

VI. DESCRIPTION OF

PHYSICAL DEMANDS

1. The

following items under physical demands, psychological demands,

work demands and

exposure category describe the basic extent of

physical demands

performed by staff in this position.

a. See

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

Case

Manager

Description of

Physical Demands

On

the job time is spent in the following physical activities and psychosocial

interactions:
CATEGORY

AMOUNT OF TIME

CATEGORY

DESCRIPTION

PHYSICAL DEMANDS

Never

Seldom

Often

Always

Physiological

High

Medium

Low

Standing:
X

Mental

Stress

X

Walking:
X

Work

with others

X

Sitting

X

AUDIO VISUAL

GOOD

FAIR

N/A

Stoops,

Kneel, Crouch, Crawl

X

Hearing*

X

Use

hands to finger handle or feel

X

Near

Vision

X

Pushing

/ Pulling

X

Far

Vision

X

Reaching

with hands and arms above / below:
X

Peripheral

Vision

X

Talk

or hear:
X

Color

Discrimination

X

Taste

or smell:
X

Depth

Perception

X

Lift / Force

Never

Seldom

Often

Always

EXPOSURES**

Frequent

Occasional

Rare

Up

to 10 pounds

Cold

X

Up

to 25 pounds

X

Heat

X

Up

to 50 pounds

X

Dampness

X

Up

to 100 pounds

X

Heights

X

More

than 100 pounds

X

Vibration

X

Job Lifting

Heavy Lifting Regular Basis

Heavy Lifting Occasional / Moderate Lifting Regular

Basis

Moderate Lifting Occasional/Light Lifting Regular Basis

Light Lifting Occasional / No Lifting Regular Basis

Skin Irritation

X

Category

X

Lung

Irritation

X

Risk

Radiation

X

Risk

of Electrical Shock

X

  • Hearing Ability to hear alarms on equipment /

pages

Ability to hear Client Call

Ability to hear instructions from

physician/department staff

*

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.

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