Case Management Nurse

3 weeks ago

CA United States Community Health Systems, Inc. (FQHC) Full time

Under the general supervision of the Nursing Services Manager, this position is responsible for working effectively with, and as part of the ECM Provider to provide high-quality, effective care management to Enhanced Care Management (ECM) members. Care management is broadly defined, and can include outreach and engagement to members, engaging members in skilled therapeutic interactions to promote health behaviors, other behavioral health interventions within scope, coordination of care, resource linkages, working with other professionals and organizations in the community to ensure quality of care for members, seamless transitions of care, and facilitating the right care and the right time for the member. This position works collaboratively as part of the ECM Care Team, members and families, and other professionals, in addition to working collaboratively with the designated PCP care team.


Responsibilities

  • Assure quality care by adhering to standards set by the physicians.
  • Provide care education to patients in person or over the phone.
  • Adhere to compliance guidelines throughout processes (OSHA, FDA, HIPAA)


Qualifications


  • Must be a Registered Professional Nurse with current licensure.
  • CPR, ACLS, and BCLS Certification
  • Knowledge of OSHA, FDA, and HIPAA compliance
  • Three (3) or more years of care management experience in a health care delivery setting.

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