BETHESDA CASE MANAGER JOB DESCRIPTION Job Summary: The Case Manager monitors, directs, and assists other unit staff to assure that care is delivered according to each resident’s care plan, the Medical Plan of Care, and State/Federal regulations. The Case Manager serves as the nursing liaison for residents, families, physicians, interdisciplinary team members and outside service providers. Job Relationships: • Reports to: Director of Nursing and Assistant Director of Nursing. • Supervises: Monitors and directs staff RNs, LPNs, TMAs and CNAs to provide the highest quality resident care. • Internal Relationships: Coordinates resident care with interdisciplinary team members and other professional providers. • External Contacts: Resident family members, physicians, and other service providers. Hours of Work: 40 hours per week, Monday through Friday and required weekend and holiday rotation. The holiday rotation will be every 5th weekend, evening shift 2:30pm-10:30pm. Dress code: Casual dress clothes or scrub uniform and Identification badge. Essential Requirements of Work: (Minimum qualifications necessary to function at full productivity • Education: • Graduate of an accredited school of nursing. • Must be a Registered Nurse in MN • CPR certified • Experience • Minimum of two-years long-term care experience preferred. • Job Knowledge • Working knowledge of Medicare, State/Federal regulations, and Case Mix. • Experience in completing MDS’s and the MDS process • Skilled in work organization, time management, and delegation • Possess and use a resident focus and service excellence philosophy. • Possess a professional, courteous, and calm manner • Have good communication skills in the English language Physical Demands of the job: • Ability to work under moderate levels of stress • Requires frequent change of position to include: standing, sitting, walking, bending, and kneeling • Patient handlers must sign & comply with the Skilled Nursing Facility Safe Patient Handling Policy. Mental Demands of the Job: • Judgement of Initiative: A wide variety of complex decisions are made. Initiative can be measured by timely accomplishments of assigned projects and predetermined goals. • Independent Action: A high degree of independent action necessary. The job requires self-motivation to function at full productivity. • Effect of Error- errors can result in poor resident care, budge discrepancies, staff problems, and unsafe environment. • Contact with others: Position requires contact with virtually all persons associated with the nursing home. Principle Job Responsibilities: Responsibility: Maintains the assigned unit to meet State and Federal regulations and facility standards: Tasks: • Promotes and implements policy & procedures under the direction of the DON/ADON that assist the residents in achieving their highest practicable physical, psychosocial, and spiritual function. • Directs, monitors, and assists unit staff to assure residents experience no preventable decline in function. • Monitors the quality of resident care on the unit and provides direction to unit staff to improve or maintain the highest quality care. • Serves as a resource person to unit staff in the areas of resident care, clinical practice, regulations, and facility policy. • Initiates disciplinary action when appropriate for unit staff and reports to DON/ADON • Assists LPNs or staff RNs with disciplinary action as needed. • Assist with quality assurance of care as defined by the DON/ADON and Medical Director • Keeps DON/ADON current on any unusual or critical situations with residents, family and staff. • Makes recommendations to DON, ADON, or MDS Coordinator for improvement of care, needed supplies and equipment • Assists DON/ADON with performance evaluations of staff on the unit. • Participates in continuing education programs both inside and out of the facility • Other duties as assigned by DON/ADON Responsibility: Perform supervisor duties of neighborhood. Tasks: • Performs physician rounds with residents’ attending physicians. • Communicates any changes in or concerns about a resident’s condition to the physician and seeks appropriate interventions • Transcribes physician orders or co-signs the orders transcribed by RN or LPN. • Performs appropriate clinical assessments for residents who are acutely ill and documents the findings of these assessments in the resident record. • Performs and documents on-going clinical assessments as required for unit residents i.e. weight loss, condition changes, dehydration etc. • Makes any needed physician calls during the shift regarding resident conditions or concerns if charge nurse is busy. • Assist with resident admission and readmission per facility policy with the assistance of House Supervisor. Complete all necessary assessments required by an RN. • Performs or monitors performance of any clinically complex treatments. • Assists residents, families, and unit staff in problem solving related resident needs. • Assist with scheduling needs PRN Responsibility: Understanding and completion of the MDS process. Tasks: • Creates and updates the plan of care or initiates/updates short-term care plans as appropriate and follows recommendations from MDS Coordinator. • Attends care conferences for residents on their unit. • Completes MDS’s accurately and in a timely manner. • Attends facility meetings as assigned. Responsibility: Pain Management Tasks: • Provides appropriate and attentive pain management which includes: • Accepts the resident’s report of pain • Relieves the physical and psychosocial symptoms associated with pain while optimizing individual and family functioning. • Promotes active participation by residents and their families in selecting pain management strategies and in communicating new or unrelieved pain. • Provides consistent state of the art care through multi-disciplinary care team and universal guidelines for pain management. • Educates residents, families, and caregivers about pain management and continually reinforces the development and application of knowledge. Responsibility: Customer Service Tasks: • Demonstrates sensitivity to customers and their needs. • Interacts appropriately with internal customers, i.e. co-workers with department and staff across departments. • Interacts appropriately with external customers, i.e. patients, residents, families, medical staff, and venders • Role models positive behaviors Responsibility: Resident Rights Tasks: • Acts as an advocate for Resident Bill of Rights - monitors and directs unit staff in this area. • Assures that all residents, families, and staff are aware of resident rights. • Assists in the identification of vulnerable adult issues and reports to the DON, ADON, Administrator, or Social Services in a timely manner. • Respects resident property • Maintains dignity and privacy of residents by knocking before entering resident room, addressing them in a respectful manner, discussing their status in a private manner and treating them in a courteous and polite manner. Professional and Personal Growth: • Report for and leave the work area on a timely basis • Participate in annual performance evaluation process. • Write yearly personal goals • Participate in all required in-service programs at Bethesda • Maintain a professional conduct and pleasant, friendly attitude towards staff, residents, and visitors. • Be willing to learn and change to meet needs that arise.