RN Case Manager

2 months ago


Fitchburg, United States Amergis Full time
The RN Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ensuring optimumutilization of resources, service delivery, and compliance with medical regime.

Essential Duties and Responsibilities:

  • Performs and coordinates the initial assessments and ongoingreassessments of the patient's status
  • Documents patient case information within a database system
  • Performs chart review/audits monthly or as needed
  • Participates in monthly case conferences by providinginformation pertinent to patient's needs/goals
  • Partners with the Program Director in development and reviewof the patient's individualized coordination of care plan
  • Ensures that the patients' medical needs are addressed;consults with the patients' physicians as needed, coordinating plans oftreatment, and advocating for the patient when necessary
  • Promotes understanding of the medical factors affecting thetargeted population
  • Identifies and assists patient(s) in accessing entitlements,resources, information, and referrals for psychosocial needs
  • Participates in Quality Assurance and Utilization Reviewactivities, as directed
  • Empowers patients in decision-making for care planning
  • Maintains accurate and timely patient information, which isreadily accessible for review and meets all requirements; assists in datacollection for reporting/funding sources
  • Fosters intra-facility and inter-facility workingrelationships to help accomplish goals; acts as a liaison between primary careproviders, specialist, and/or patient
  • Advocates on behalf of patient regarding accessibility ofservices
  • Follows State/County mandated guidelines for the nurse casemanagement programs
  • Participates in outreach activities to the entire targetpopulation, as directed
  • Recommends program/service changes to meet gaps in servicein the community
  • Performs other duties as assigned/necessary

Minimum Requirements:

  • Current RN licensure in state practicing
  • At least one year of Case Management experience preferred
  • Complies with all relevant professional standards ofpractice
  • Participation and completion of Amergis' Competency programwhen applicable
  • Current CPR if applicable
  • TB questionnaire, PPD or chest x-ray if applicable
  • Current Health certificate (per contract or stateregulation)
  • Must meet all federal, state and local requirements
  • Successful completion of new hire training as applicable tojob site
  • Understand patient confidentiality and HIPAArequirements
  • Ability to effectively elicit/provide information to andfrom appropriate individuals (including, but not limited to, supervisors,co-workers, clients) via strong communication skills; proficiency in theEnglish language is required
  • Computer proficiency required
  • Must be at least 18 years of age

Benefits

At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:

  • Competitive pay & weekly paychecks
  • Health, dental, vision, and life insurance
  • 401(k) savings plan
  • Awards and recognition programs

*Benefit eligibility is dependent on employment status.

About Amergis

Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions.

Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
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