Entity: Owensboro Health Regional Hospital | Department: Case Management | Work Hours: 8-4:30 flexible | Weekend Requirements: N/A | 1.0 FTE

Job Summary:

Responsible for the planning, development, implementation, and evaluation of education and competency for the Case Management Department.

Job Responsibilities:

• Develops, coordinates, and facilitates onboarding, orientation, and continuing education for new and existing case management team members throughout the system

• Creates and maintains annual competency assessments, educational materials, and skill validation.

• Creates training materials and tip sheets specific to case management workflows

• Provides education on CMS, Joint Commission, and payer regulatory standards such as code 44, MOON, HINN, IMM, ABN, Two Midnight Rule, and patient choice.

• Monitors staff performance for adherence to regulatory, documentation, and policy standards.

• Collaborates with Physician Advisors, Revenue Cycle, Compliance, and/or Risk, to identify trends and develop corrective education plans as needed.

• Supports preparation for CMS, Joint Commission, and other regulatory surveys.

• Partners with leadership to develop standardized processes, tools, and policies across the system.

• Serves as a clinical resource for all case management team members throughout the system.

Skills and Attributes:

• Requires critical thinking skills and decisive judgment.

• Works under minimal supervision.

• Must be able to work in a stressful environment and take appropriate action.

• Knowledge of CMS and payer regulations related to hospital utilization management and discharge planning

• Ability to work effectively in a multidisciplinary environment and across multiple facilities

Position Requirements:

Work Experience

• A minimum of 3 years relevant experience preferred.

Education

• Bachelor's degree or higher in Nursing required upon hire.           

Licensure/Certification/Registration

• RN - Licensed as a Registered Nurse. Eligible to practice nursing in the State of Kentucky required upon hire.               

Organizational Responsibilities:

• Supports Owensboro Health’s Mission, Vision, Core Commitments, and business interests.  Adheres to all organizational policies and procedures. Executes all tasks and behaves in a manner consistent with a culture of compliance, safety and a high reliability organization.

Additional Job Information:

• This job description describes the general nature and level of work required by the position. It is not intended to be an all-inclusive list of qualifications, skills, duties, responsibilities or working conditions of the job. Specific duties and responsibilities consistent with the general nature and level of work described may vary by department and additional related duties may be assigned as needed. Some duties listed may not apply to all employees with this job description. 

• The job description is subject to change with or without notice, and Management reserves the right to add, modify or remove any qualification or duty. Nothing in this job description changes the existing at-will employment relationship between the Organization and the employee occupying the position.

Standard ADA Settings:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical Demands: (Office Environment)

Standing: 75%

Walking: 75%

Sitting: 50%

Lifting 0-25 lbs: 25%

Lifting 25-75 lbs: 25%

Lifting over 75 lbs: 25%

Carrying 0-25 lbs: 25%

Carrying 25-75 lbs: 25%

Carrying over 75 lbs: 25%

Pushing/Pulling 0-25 lbs: 75%

Pushing/Pulling 25-75 lbs: 50%

Pushing/Pulling over 75 lbs: 50%

Climbing: 50%

Bending/Stooping: 75%

Kneeling: 50%

Crouching/Crawling: 50%

Reaching: 75%

Talking: 75%

Hearing: 75%

Repetitive Foot/Leg Movements: 25%

Repetitive Hand/Arm Movements: 75%

Keyboard Data Entry: 75%

Running: 25%

Vision: Depth Perception: 75%

Vision: Distinguish Color: 75%

Vision: Seeing Far: 75%

Vision: Seeing Near: 75%

Hazardous Drug Risk Exposure:

Risk Level: Low-Risk

Owensboro Health Core Commitments

INTEGRITY - We conduct ourselves with a high level of responsibility, reliability and honesty because we take seriously the trust of our patients and coworkers.

RESPECT - We value and accept the unique talents and contributions of every patient, customer and team member in the Owensboro Health community.

TEAMWORK - We build a spirit of connectivity and fellowship by striving together to overcome obstacles, surpass goals, celebrate accomplishments and plan the future.

INNOVATION - We foster original ideas and creative solutions that improve our daily work and promote the mission of Owensboro Health.

SERVICE - We focus on service to patients, customers and team members by anticipating their needs, thoughtfully meeting those needs and continually improving the quality of everything we do.

EXCELLENCE - We reach beyond basic expectations to expand our knowledge and awareness, produce exceptional work and provide outstanding service.