Care Management Specialist / Rn

The Care Manager Specialist will coordinate the design, planning, evaluation, and integration of clinical education, orientation, and professional development activities so as to maintain consistent standards of practice and competencies in the delivery of Care Management. In addition, this role will work with Decision Support to transform the data into actionable information in order to influence clinical practice. Excellent presentation and communication skills are required.

• Facilitates the orientation, staff development, continuing education, competency validation, patient

education for Care Management staff.

• Facilitates opportunities for interaction between external partners and care managers
• Transition/discharge planning
• Serves as a liaison by establishing and maintaining open lines of communication with other hospital departments, the consumer, and the community.
• Assumes patient load as needed
• Facilitates CEU offerings for care managers and social workers with external partners.
• Utilization review and management
• Applies effective teaching-learning methodologies to care management staff development for all new and existing care managers and social workers
• Facilitates the development of strong leadership behavior in the department
• Promotes and contributes positively to intradepartmental and interdepartmental relationships.
• Assists with unit recruitment and retention initiatives.
• Follow yearly license renewal for compliance
• Incorporate Midas and Meditech modules and functionality in the orientation materials and annual updates in staff education.
• Performs monthly or quarterly compliance audits as directed
• Defines and coordinates orientation/onboarding needs for all new department employees, as well as accepted students. For students, individualized orientation, with a preceptor, evaluates the orientee’s progress and provides ongoing constructive feedback to both orientee, their preceptor, and the outcomes manager.
• Assist the department leadership in the assessment of new departmental employee learning needs and development of employee orientation and education plans to ensure consistency in implementation validation and documentation methodologies.
• Adheres to Hospital Dress Codes, Safety Policies, and Procedures.
• Psycho-social support to patients and families
• Consistently provides opportunities for interaction with employees to discuss professional growth, personal concerns, and educational goals.
• Displays a caring and courteous attitude and represents the hospital in a positive manner to all persons noted above.
• Maintains the confidentiality of patient and department information without infractions.
• Demonstrates expert team-building skills, problem-solving abilities, and conflict-resolution strategies as they provide leadership not limited to their nursing area.
• Collaborates with department leadership and support staff using indicators, such as regulatory agencies, new policy development, new technology, patient case study, and quality assurance monitors, to prioritize educational needs.
• Monitors care management staff workflow and documentation in support of the following’
• Promotes direct caregivers as valuable assets to the hospital.
• Seeks opportunities to enhance ongoing education needs within Care Management.
• Compliance based requirements (IM Notice; MOON; Choice; Discharge Planning)
• Care coordination
• Develops and implement department-specific staff educational activities for Care Management.
• Demonstrates regard for the dignity, respect, and safety of all patients, significant others, visitors and hospital personnel as defined in the philosophy of the organization.
• Participates in meeting the Goals and Objectives of DCH, Care Management to help reduce length of stay, and prevent readmissions.
• Maintains all current nursing home, home health, durable medical equipment, and hospice lists for ready access by the care managers and social workers for posting on the Intranet CM site.
• Assesses and identifies staff ability for critical thinking and multitasking.
• Assesses staff educational needs, develops a plan, implements and evaluates the effectiveness of the plan, in conjunction with the performance management process.
• Collaborates with departmental executive leadership in developing department standards policies, procedures, protocols, documentation, forms, and transitions.
• Serves as a role model and promotes the staff’s effective communication and conflict resolution skills, reflecting quality service attitudes and keeping consumer satisfaction in mind.
• Assumes patient load at times of high census and staffing challenges
• Provides input and assists director/managers in the annual review of department Standard of Practices, Scope of Service, and performance improvement initiatives in conjunction with other departmental work teams.
• Contributes positively to the teamwork of the department by assisting other staff, contributing ideas, and helping to resolve problems.
• Provides constructive and timely feedback on employee performance to employee and management.
• Demonstrates clinical expertise by serving as a resource and role model for department personnel.

DCH Standards

• Performs essential job functions in a manner that ensures the safety of patients, visitors, and employees.
• Identifies and reduces unsafe practices that may result in harm to patients, visitors, and employees.
• Must adhere to all DCH Health System policies and procedures.
• Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues, and with self.
• Performs compliance requirements as outlined in the Employee Handbook
• Requires use of electronic mail, time and attendance software, learning management software, and intranet.
• Maintains performance, patient and employee satisfaction, and financial standards as outlined in the performance evaluation.
• Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors, and employees.

All other duties as assigned.

Registered Nurse or Licensed Social Worker with the following

• Must be able to read, write legibly, speak, and comprehend English
• Bachelor of Science in Nursing or Social Work preferred
• Strategic planning experience preferred
• Master’s degree in nursing, social work, business, or hospital administration preferred
• 5 years RN or SW experience in a hospital setting preferred
• Certification in Case Management preferred (ACM, CCM, CMAC)
• Current RN or SW Alabama licensure
• Public speaking and/or instructor experience preferred
• Five years’ case management experience required

WORKING CONDITIONS

WORK CONTEXT

ENVIRONMENTAL

• Includes exposure to human body fluids, disease, infection, lab chemicals, and hazardous conditions
• Interpersonal Relations
• Requires the use of masks, gloves, and safety glasses to protect patients and themselves from infectious diseases
• Structural Job Characteristics
• Requires face-to-face contact with others
• Requires working indoors in environmentally controlled conditions
• Requires the ability to work with a work group or team
• Requires the use of electronic mail and telephonic communication
• Must be able to develop and maintain cooperative working relationships with staff, patients and their significant others, agencies, and organizations

PHYSICAL FACTORS

• Physical presence onsite is essential.
• Hearing and vision must be normal or corrected to within normal range.
• Ability lift at least 20 lbs., tolerate prolonged periods of sitting, standing, and/or walking, reach reasonable distances to handle equipment, Good manual, and finger dexterity, and good communication skills.
• Activities talking, hearing, bending, twisting, walking, running, kneeling, crouching, stooping, crawling, climbing, balancing, reaching, pushing, pulling, lifting, grasping, repetitive motion, standing, and/or using hands to handle, control, or feel objects, tools or controls.
• Requirements Light work. Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Must be able to perform the duties with or without reasonable accommodation.

Other Job Factors

• Independence — The job requires developing one's ways of doing things, guiding oneself with little or no supervision, and depending on oneself to get things done.
• Attention to Detail — The job requires being careful about detail and thorough in completing work tasks.
• Analytical Thinking — The job requires analyzing information and using logic to address work-related issues and problems.
• Social Orientation — The job requires preferring to work with others rather than alone, and being personally connected with others on the job.
• Innovation — The job requires creativity and alternative thinking to develop new ideas for and answers to work-related problems.
• Adaptability/Flexibility — The job requires being open to change (positive or negative) and considerable variety in the workplace.
• Stress Tolerance — The job requires accepting criticism and dealing calmly and effectively with high-stress situations.
• Cooperation — The job requires being pleasant with others on the job and displaying a good-natured, cooperative attitude.
• Integrity — The job requires being honest and ethical.
• Self-Control — The job requires maintaining composure, keeping emotions in check, controlling anger, and avoiding aggressive behavior, even in very difficult situations.
• Leadership — The job requires a willingness to lead, take charge, and offer opinions and direction.
• Achievement/Effort — The job requires establishing and maintaining personally challenging achievement goals and exerting effort toward mastering tasks.
• Concern for Others — The job requires being sensitive to others' needs and feelings and being understanding and helpful on the job.
• Initiative — The job requires a willingness to take on responsibilities and challenges.
• Dependability — The job requires being reliable, responsible, and dependable, and fulfilling obligations.
• Persistence — The job requires persistence in the face of obstacles.