What are the responsibilities and job description for the Care Manager position at Minnie Hamilton Health System?
Minnie Hamilton Health System
TITLE: CARE MANAGER
DEPARTMENT: FQHC - GLENVILLE CLINIC
REPORTS TO: FQHC CLINIC LEAD
TITLE: CARE MANAGER
DEPARTMENT: FQHC - GLENVILLE CLINIC
REPORTS TO: FQHC CLINIC LEAD
COMPETITIVE PAY AND BENEFITS
BASIC PURPOSE:
Provides patient care that does not require nursing judgment under supervision of the FQHC Clinic Lead with delegated tasks ordered only by the provider. Responsible for initial screening of patients during Intake process, assisting providers and professional nurses with the routine health care of patients and facilitating patient flow during regularly scheduled clinic hours.
MHHS is dedicated and committed to “Organizational Excellence” and our corporate values, INTEGRITY, COMPASSION, EXCELLENCE, COMMITMENT, and COMMUNITY. We accept nothing less.
QUALIFICATIONS:
1. High School diploma.
2. One year experience and Licensed Practical Nurse license, preferred.
3. Must successfully complete 90-day orientation with satisfactory performance evaluation.
4. Possess a general understanding of care management principles and practices for clients in a primary care setting.
ESSENTIAL FUNCTIONS
This description does not state or imply that the duties, essential functions, and job requirements are the ONLY parameters for this position. Associates are required to follow job related instruction and perform other job-related activities requested by their supervisor.
All requirements are subject to possible modification in order to provide a reasonable accommodation to individual with physical or mental disabilities as defined by the Americans with Disabilities Act. Some requirements may exclude individuals who pose a direct threat or significant to the health and safety of themselves, the patients or other associates.
PHYSICAL REQUIREMENTS:
- Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling are necessary body movements utilized in performing nursing duties throughout the work shifts.
- Must be able to read and write legibly in English.
- Hearing within normal range is required (i.e., to assess breath sounds, bowel sounds, apical pulse, monitors, etc.)
- Visual acuity must be within normal range.
- Must be able to climb on a stepladder or stepstool to file on shelving unit.
- Must possess independent decision-making ability.
- Must have the ability to prioritize job duties.
- Must respond to changes in work volume on a daily basis.
- Must be able to organize and complete assigned task.
- Must be able to respond to crisis situations in a calm professional manner.
- Must be able to follow verbal and written instructions.
MENTAL REQUIREMENTS:
- Must have the ability to perform concentrated and complex mental activity with frequent involvement in complex and highly technical situations.
- Must have the ability to work successfully under highly stressful conditions and must be capable of adapting to varying workloads and work assignments on a constant basis.
- Must have the ability to make sound, independent judgments based on scientific principles and also be able to collaborate with other multi-disciplinary team members in an appropriate fashion.
- Must be able to work flexible hours, as close to provider schedule as possible.
ENVIRONMENTAL CONDITIONS:
(POTENTIAL FOR)
- Exposure to body fluids, human tissues, contagious diseases, sharps, and explosive gases.
- Exposure to cleaning agents and disinfectants.
- Exposure to toxic gas, fumes, and odors.
- Exposure to high stress and constant interruptions.
- Exposure to electrical current.
- Exposure to radiation from x-rays.
EQUIPMENT USED: This must be considered only a representative, partial list, since equipment changes may occur at any time.
Must be able to operate a computer terminal, copy machine, telephone, fax machine, scanner, printers, stapler, Dictaphone, hole punch. Must be able to handle paper charts.
JOB DUTIES:
- ELECTRONIC MEDICAL RECORDS (EMR)
- Demonstrate capability and use of the computer and the functions of the EMR in place at MHHS.
- Ability to enter messages received by phone, retrieve messages and make referrals and schedule test as ordered.
- BASIC DUTIES
- Phone Messages
- Demonstrates appropriate politeness, and courteous phone etiquette.
- Demonstrates ability to retrieve phone messages from voicemail or in person and enter message into EMR. Sends messages to appropriate provider and or nurse.
- Updates voicemail message related to changes in hours and guidelines for answering messages or medication refills.
2. Referrals
- Checks EMR frequently for referrals ordered by providers.
- Obtains necessary information to make referrals, makes the appointment, notifies patient and documents in to the EMR.
- Maintains manual log to track referrals made and when reports return.
3. Medication Authorization
- Assist with obtaining prior authorization when necessary form payor source making necessary calls and completing forms as required.
- Notifies provider by EMR if authorization failed and medication order needs changed.
4. Scheduling Test
- Checks EMR whiteboard/callback/action tab for orders to schedule tests inside or outside the facility.
- Obtains prior authorization as needed, makes appointment for test as ordered, and notifies patients.
3. COMMUNICATION
Assist provider as patient advocate, acting as a liaison between patient, family, outside agencies and the provider/clinic staff to provide continuity of patient care as directed.
- Relays pertinent information to the appropriate staff regarding patient status for referrals, authorizations, phone messages, medication refills or any need the patient may have.
- Demonstrates knowledge of and adherence to patient rights.
- Maintains patient confidentiality according to policy.
- Utilizes appropriate communication skills with patient and staff to maintain flow of information and continuity of care (phone, verbal, e-mail, fax).
4. EQUIPMENT
Demonstrates the ability to use the following equipment efficiently, safely, and appropriately
- Phone
- Computer
- Fax machine
- Copier
- Paper Shredder
- Refrigerator/thermometer
5. SAFETY
Demonstrates knowledge of and compliance with safety policies and procedures.
6. CODE BLUE
- Knowledge of how to call a code and initiates CPR until help arrives.
- Assist with patients and or families as needed.
- Runs errands as needed.
- Maintains a current CPR card.
7. Documentation/Management
- Perform screening of chronic disease in conjunction with Primary Care Provider Utilizing guidelines set form by Health Disparities Collaborative and MHHS.
- Documentation will include all care management interventions provided, updating patient’s electronic health records including but not limited to medication list, consults/referrals, problem list. Transcribing medical information from what the provider authorizes verbally or in writing into the EMR. Enhances patient care by assisting provider in administrative support as necessary.
8. OTHER DUTIES AS ASSIGNED
- Other duties as assigned.
