Case Manager – Level 1 (Bilingual)

Candidates for this position must meet the following requirements:

REQUIREMENTS:

¨ Strong Working knowledge of Triage nursing principles, theories and practices

¨ Ability to take vital signs, perform approved clinical tasks including but not limited to: Evaluate patient needs, emergency triage, administer prescribed medications, assist physician with examinations and treatments, prepare and apply dressings and perform wound care; instruct patient in health measures and self-care; change Foley catheters, and flush ports (or be willing to learn).

¨ Ability to record findings and observations and good organizational skills

¨ Knowledge of medical equipment and maintenance

¨ Ability to provide on-site emergency treatment

¨ Ability to read, write, speak and understand the English language fluently

¨ Ability to interact and communicate professionally and effectively with patients, physicians, staff, vendors and patient families (ie explain medical instructions to patients/family)

¨ Five years of acute care clinical experience preferred

¨ Possess a current and valid LPN or RN Florida state license and CPR

¨ Computer literate

¨ LPN’s IV Certification or ability to obtain and perform within 90 days of hire Good organizational skills

¨ Ability to perform case management

¨ Spend majority of time performing triage functions

¨ English/Spanish bilingual required

¨ Ability to travel may be required

¨ Performs telephonic triages with follow-up

¨ Must have consistent, punctual and reliable attendance

RESPONSIBILITIES:

Responsible for quick and accurate triage response according to JSA protocol. Under direction and supervision of physician, administers prescribed medications and immunizations, provides emergency treatment and other patient services within the ambulatory setting. Maintains clinical documentation within the medical records assuring compliance within all guidelines. Conduct patient education and participates in health promotion activities. Maintains equipment, adequate stock levels of consumables in all treatment and exam rooms. Provides nursing care in the ambulatory setting to patients and families. Provides emergency treatment as required. Participates in clinic’s Quality Management Program, High Risk Program, Group Visits, and other programs as requested. Monitors inpatient, outpatient, and SNF patients and initiates patient care arrangements. Assists with the education of the patient and/or family as directed by the physician. Reports findings to Medical Management; Medical Director and Center Administrator. Responsible for patient care management to assure appropriate care is provided; reinforces patient education regarding preventative care, dietary restrictions, medications and other therapeutic regimens; coordinates home health and DME requests and provides recommendations to the Center Medical Director. Provides oversight in patient care evaluation, coordinates the collaboration of the Primary Care Provider and Consultants, and makes suggestions to improve plans to meet patient needs. Assists with the monitoring of utilization management and makes recommendations regarding effectiveness of health care resources, trending and intervention. Assists in the assessment of clinic operations and make recommendations as necessary. Assure compliance with HCFA guidelines and covered service guidelines. Assists with the contestation of Part A and Part B claims as needed. Consistently applies guidelines to the medical record review process. Evaluates and recommends health delivery network changes with the site Medical Director and Center Manager. Attends Case Management meetings. Assists the Center Medical Director with the management of high-risk patient populations and appropriate Case Management plans.