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Case Management Nurse

Foremost Family Health Centers
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SUMMARY

The Case Manager provides assessments and discharge planning in coordination with the providers to patients and families to assist them and the health care team in coping with patient's illness, diagnosis, treatment, and/or life situation, including emotional, mental, and substance abuse disorders, and other financial or social needs.


 

 DIRECT REPORTS:          Direct reports may include LVNs, Medical Assistant’s

         

CHARACTER TRAITS

  • Caring, with great empathy and compassion for patients who walk through the doors
  • Passion to help the underserved
  • Demonstrated track record of inspiring others to follow your lead
  • Displays integrity
  • Patience and understanding

LEADERSHIP STYLES

  • Promotes Patient-Centered Care
  • Promotes Teamwork
  • Manages Diverse Relationships
  • Develops and Coaches Others
  • Takes Initiative and Exhibits Confidence
  • Highly Communicative and Innovative
  • Pays Attention to Detail
  • Handles Multiple Tasks with Diligence

DUTIES AND AREAS OF RESPONSIBILITY

  • Provide individual and family counseling within the scope of skill level.
  • Provide nutrition education, fitness assistance, chronic disease maintenance, etc.
  • Complete relevant forms to assist patients in obtaining whatever additional resources needed (e.g. free medications, utility bill paid, clothing, etc.).
  • Consult with primary care provider, and other health professionals as required.
  • Make referrals to medical provider as necessary.
  • Monitor medication compliance.
  • Provide counseling sessions for parent, home visits when appropriate.
  • Use resource linkage.
  • Meet regularly with other health center staff.
  • Provide written and verbal descriptions of activity reports, utilizing existing and future patient software.
  • Coordinate outreach activities with CEO and implement outreach activities approved by CEO.
  • Function in a supervisory role as a team leader or trainer to outside students, when necessary. 
  • Screen, identify, treat and manage substance abuse problems in patients and family members.
  • May perform these functions independently or as part of a team.
  • Maintain working knowledge of and liaison with community agencies and resources.
  • Document assessment, plan, interactions, and interventions according to departmental, hospital and/or health system guidelines and standards.
  • Maintain records and statistics in accordance with department, hospital, medical center and/or health system policies.
  • Attend and participate in staff, committee, department, and other administrative meetings.
  • Participate in department, hospital, medical center, and/or health system continuous quality improvement efforts.
  • Participate in regular supervisory conferences; keep current with social work and health care developments and seek to increase further enhancement of job-related knowledge.
  • Ability to work effectively and autonomously in a self-directed role.
  • Highly collaborative with strong interpersonal and team building skills.
  • Ability to prioritize multiple work assignments and manage time efficiently.
  • Flexibility in accepting diverse work assignments and managing stress related to change.
  • Ability to resolve/manage conflict.
  • Ability to help implement departmental, and center-wide initiatives.
  • Good oral and written communication skills and group facilitation skills.
  • Ability to provide individual, small group and family counseling services.
  • Ability to organize work and meet service objectives efficiently.
  • Knowledge of state and federal laws and regulations regarding the provision of ambulatory mental health services.
  • Good understanding of psychodynamics of children, adolescents, and of treatment strategies for common mutual health problems of children and adolescents.
  • Computer skills, reporting, confidentiality
  • Public speaking (to present reports to various groups)
  • Assist with Walk-ins, Triage, and Nurse calls
  • Assist with the OB Case Management services
  • Assist in the collection of data for the UDS reports
  • Review and access insurance dash boards (Superior, Well Care, etc.) and follow up with patients, accordingly
  • Other duties as assigned related to employee’s training, experience and the needs of the Center

 

EDUCATION AND/OR EXPERIENCE

Graduate of an accredited school of nursing, college or university.

Must hold a current and active Texas RN license or LVN license with no restrictions.

Must be qualified in BLS techniques.

Case Management Certification or 12months of full-time case management experience with intentions on receiving certifications within 1 year preferred

Must have a working knowledge of OSHA Bloodborne Pathogen Standards and Risk Management. 

Have a working knowledge of Microsoft Office products and familiarity with network systems.