Case Manager

Position General Summary :

This position is dual-role and is a Non-Essential position at the facility. Employees hired into this position should contact their immediate supervisor / manager for directions on reporting to work during periods of poor environmental weather and road conditions.

The Employee Health Services (EHS) Nurse Clinician and Case Manager, under the direction of the Case Management Director, serves as an interdisciplinary team member to coordinate the delivery of health care services leading to quality outcomes for the inpatient, ambulatory surgery, and observation population and their families with the limits of financial and social resources available to the patient and his or her family. The Nurse Clinician provides direct and indirect nursing care for employees, contract employees, and non-employee groups, with particular emphasis on health maintenance and promotion of wellness. Will work in conjunction with other employee health nurses at sister facilities.

Position Duties and Responsibilities :

• Observe professional ethics in maintaining confidential information acquired concerning the personal, financial, medical, or employment status of patients and their families.
• Follow accepted safety practices for the patient and the hospital.
• Report safety hazards and initiate appropriate action.
• Participate in safety instructional programs.
• Perform medical necessity reviews following Interqual and / or MCG Milliman criteria and document findings in the medical record.
• Obtain precertification for all admissions requiring prior authorization.
• Complete a discharge planning assessment on all inpatients and arrange any needed post-acute care services.
• Provide financial counseling to patients and families regarding which medical insurance packages are best for the patient and walk them through the enrollment process.
• Investigate and work in collaboration with the Risk Manager and Human Resources in all aspects of employee injuries on the job.
• Maintain confidentiality with extreme professionalism and priority.
• Work closely with management to ensure that all health and safety standards are met in an effort to safeguard the health and wellbeing of employees.
• Monitor employee work-related illness and injury trends and assess, develop, and implement strategies to prevent work-acquired injury or illness and expedite return to work.
• Perform blood-borne pathogen exposure assessment, treatment, and follow-up.
• Participate in preventative screening programs (e.g., TB skin testing, influenza, hepatitis B, MMR, varicella, and other appropriate immunizations) and surveillance programs designed to identify and monitor risks to the employee's health.
• Safely administer and appropriately document immunizations and TB skin tests given to employees per program guidelines.
• Perform communicable disease exposure follow-up.
• Identify and refer employees with personal health needs to the EHS MD, NP, or personal physician when appropriate.
• Maintain knowledge and skill in all aspects of immunizations for adults.
• Document patient care in an electronic medical record.
• Provide counseling and emotional support with compassion and respect for the individual in all aspects of employee healthcare issues.
• Conduct new employee health assessments and Respiratory Fit Testing.

Facility General Responsibilities :

Knowledge, Skills, and Abilities :

Position Requirements : Education, Work Experience, Licensure, Certifications :

Working Conditions :

Statement of Non-Inclusivity :

This job description has been designed to indicate the general nature and level of work being performed by the employee within this classification. It is not designed to contain or be interpreted as a comprehensive list of all duties, skills, responsibilities, and qualifications which may be required of or given to any employee assigned to the position. The skills, duties, requirements, and responsibilities outlined in this job description may be changed or added to when deemed appropriate and necessary by the company or the person who is designated to be managerially responsible for this position. Receipt of the job description does not imply nor create a promise of employment, nor an employment contract of any kind. Employment with the company is an at-will relationship.