Case Manager (LVN)

POSITION TITLE

The Nurse Manager job description will provide the scope of the position in the facility.

Occupational Exposure: Category I

Department: Nursing

Reports to: Director of Nurses

FLSA: Non-Exempt

POSITION SUMMARY:

Under the direction of a Registered Nurse (RN) Nursing Supervisor or Director of Nurses, the Case Manager whether an RN or Licensed Vocational Nurse (LVN) delivers efficient and effective nursing care while achieving positive clinical outcomes and patient/family satisfaction. He/she operates within the scope of practice defined by the State Nurse Practice Act. The RN/ LVN contributes to nursing assessments and care planning, provides direct patient care, and supervises patient care as directed by the managed care organization.

JOB SKILLS:

• Comprehensive knowledge of nursing principles required, including the ability to recognize and identify symptoms and manage emergency situations.
• Knowledge of medications, their proper dosage, and expected results.
• Ability to coordinate, delegate and supervise unlicensed nursing functions.
• Ability to create a patient-facility environment.
• Basic knowledge of computer use.
  
  
  

SPECIFIC EDUCATIONAL/VOCATIONAL REQUIREMENTS:

• Graduate of an approved school for registered/ practical or vocational nursing is required.
• Must be currently licensed by the State Board of Nursing.
• Experience is preferred in rehabilitative or geriatric nursing.
• This position requires that the employee is able to read, write, speak and understand the spoken English language to ensure the safety and wellbeing of our patients and visitors at the work site when responding to their medical and physical needs.
• Must provide verification of TST (tuberculin skin test) as required by state law and in accordance with Company policy. TSTs will be administered at the work site if required
  
  
  

RESPONSIBILITIES/ACCOUNTABILITIES:

• Patient Evaluation:
  
  
  

1.1. Collects, reports and documents objective and subjective data;

1.2. Observes conditions and reports changes in condition to RN;

• Care Planning:
  
  
  

2.1. Contributes to establishing individualized patient goals;

2.2. Assists in developing interventions to achieve goals;

2.3. Implements the plan of care;

2.4. Evaluates effectiveness of interventions to achieve patient goals and minimize re[1]hospitalizations; 2.5. Participates in review and revision of plan of care;

• Provision of Direct Patient Care:
  
  
  

3.1. Review administered medications and orders as well as treatment ordered per physician orders;

3.2. Communicates pertinent data to RN and/or physician and/or managed care organization for approval of levels of care;

3.3. Documents accurately and thoroughly as needed; Collects information for manage care organization for continued stay and care level needed

3.4. Consults and seeks guidance from the RN supervisor or DON as necessary;

3.5. Directs and Participates in Utilization Management or Interdisciplinary Care Management Meeting to facilitate appropriate discharge planning:

3.5.1. Communicates team’s recommendations for discharge to the attending physician, patient and family and managed care organization; Assist with DME products needed for discharge and in-patient care

3.5.2. Prepares patient/family for discharge including patient and family education

3.5.3. Obtains required authorization from manage care organizations for continuity of care.

• Monitors patient care provided by unlicensed staff:
  
  
  

4.1. Duties as specified by CA State Nurse Practice Act, policy, and staff training;

4.2. Communicates patient information with unlicensed staff during and between shifts;

4.3. Monitors, evaluates and follows-up on assigned responsibilities of unlicensed staff;

4.4. Ensures that assigned tasks are performed in accordance with policies and procedures;

• Uses electronic medical record according to the Business Processes;
• Assists physician in rounds and examination of patients, as needed;
• Participates in shift-to-shift communication between incoming and outgoing nursing staff for assigned patients for managed care for continuity of care;
• Collaborates and coordinates with other departments and manage care organization to provide timely effective care consistent with individual’s needs, choices and preferences;
• Contributes to an environment that is respectful, team-oriented, and responsive to the concerns of staff, patients and families;
• Enhances nursing practice by attending all mandated in-service programs;
• Assists with the orientation of newly hired nursing staff to ensure that continuity of care is provided for manage care patients;
• Promotes a culture of safety to ensure a healthy practice and living environment;
• Maintains confidentiality and protects sensitive Protected Health Information (PHI) at all times;
• Stays and works beyond scheduled shift if needed to meet state staffing requirements and/or needs of patients;
• Performs other duties as requested.