JOB DESCRIPTION: Mentor and coach newly hired staff as well as current RN staff. Clinical expert and role model in managing care of patient populations and maintaining collaborative relationships with multidisciplinary colleagues. Identifies education needs/gaps for staff and is responsible for providing required training. Utilizes Case Management training modules and other clinical tools to enhance best practice. Serves as clinical instructor for new employees. Performs quality reviews of staff documentation to ensure compliance with regulatory standards. Demonstrates commitment to own professional development through participation in preceptor meetings and skill development/credentialing, yearly refresher courses/CEUs. Functions as a teacher, mentor, and coach in guiding, directing, and supervising the practice of Case Management. Assists in Management of updates in policies and procedures for compliance with Regulatory agencies. Quarterly audits of all RN staff to ensure compliance for federal/State agencies. Ensures appropriate timeframes are completed for precertification/concurrent authorizations to insurance companies/etc. Present new initiatives and follow through with educational inservices for all staff. Assist Director and Manager in competency requirements for all staff. Coordinates successful orientation of staff according to skill levels and tailors orientation to individuals. Maintains and updates orientation manual/monitors and facilitates completion of orientation paperwork and assists in meeting new hires orientation goals.
MINIMUM QUALIFICATIONS: RN in State of Georgia. Minimum of 5 years Utilization Management experience. Accredited Case Manager Certification.
PHYSICAL REQUIREMENTS (MediumMax 25lbs): up to 25 lbs, 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 25 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.
ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.