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Overview

Analyst-Case Management Senior RN

Job Code

20335 FLSA Status

Job Family

CASE MGMT

Job Summary Responsible for assisting in the implementation of reviewer reliability processes for all levels of care for all BMHCC entities to promote validity and reliability of review activities in case management. Incumbent is responsible for eight (8) hours per day, five (5) days per week. Incumbent is also responsible for resolving issues occurring on all shifts seven (7) days a week. Some overtime, callback/week-end coverage may be required. Position reports to System Director, Case Management.

Job Responsibilities Job Responsibilities

+ Complete encounters requiring follow-up on work queue list.

+ Perform ongoing concurrent and retrospective monitoring and evaluation of activities relating to utilization review and discharge planning.

+ Assist Case Management Director in strategies for improvement and intervention.

+ Assist case management educator with ongoing education to case managers.

+ Identify patterns, trends, and opportunities for review and resource management.

+ Benchmarks and promotes sharing of best practices and encourages break-through thinking, creativity, and innovation.

Specifications Experience Description Minimum Required Preferred/Desired At least 3 years of health care hospital experience and 5 years in management. 3-5 years in management or related field

Education Description Minimum Required Preferred/Desired RN ADN or Diploma BSN CCM/ACM certification (or obtain within 3 years of employment)

Training Description Minimum Required Preferred/Desired Knowledge of case management review process. Experience in providing education to groups.

Special Skills Description Minimum Required Preferred/Desired

Licensure Description Minimum Required Preferred/Desired Nursing RN CCM;ACM

Reporting Relationships

Does this position formally supervise employees? If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager. Reporting Relationships No

Work Environment Functional Demands Label Short Description Full Description Sedentary Very light energy level Lift 10lbs. box overhead. Lift and carry 15lbs. Push/pull 20lbs. cart Light Moderate energy level Lift and carry 25-35lbs. Push/pull 50-100lbs. (ie. empty bed, stretcher) Medium High energy level Lift and carry 40-50lbs. Push/pull +/- 150-200lbs. (Patient on bed, stretcher) Lateral transfer 150-200lbs. (ie. Patient) Heavy Very high energy level Lift over 50lbs. Carry 80lbs. a distance of 30 feet. Push/pull > 200lbs. (ie. Patient on bed, stretcher). Lateral transfer or max assist sit to stand transfer.

Functional Demands Rating Medium

Activity Level Throughout Workday Physical Activity Requirements - Sitting Occasional

Physical Activity Requirements - Standing Occasional

Physical Activity Requirements - Walking Occasional

Physical Activity Requirements - Climbing (e.g., stairs or ladders) Occasional

Physical Activity Requirements - Carry objects Occasional

Physical Activity Requirements - Push/Pull Occasional

Physical Activity Requirements - Twisting Occasional

Physical Activity Requirements - Bending Occasional

Physical Activity Requirements - Reaching Forward Occasional

Physical Activity Requirements - Reaching Overhead Occasional

Physical Activity Requirements - Squat/Kneel/Crawl Occasional

Physical Activity Requirements - Wrist position deviation Occasional

Physical Activity Requirements - Pinching/fine motor activities Occasional

Physical Activity Requirements - Keyboard use/repetitive motion Occasional

Physical Activity Requirements - Taste or smell Not Anticipated

Physical Activity Requirements - Talk or hear Continuous

Sensory Requirements Color Discrimination Near Vision Far Vision Depth Perception Hearing Yes Accurate Accurate Accurate Accurate

Environmental Requirements - Blood-Borne Pathogens Anticipated

Environmental Requirements - Chemical Anticipated

Environmental Requirements - Airborne Communicable Diseases Anticipated

Environmental Requirements - Extreme Temperatures Anticipated

Environmental Requirements - Radiation Anticipated

Environmental Requirements - Uneven Surfaces or Elevations Anticipated

Environmental Requirements - Extreme Noise Levels Anticipated

Environmental Requirements - Dust/Particular Matter Anticipated

Environmental Requirements - Other

REQNUMBER: 30995