RN Case Manager

5 days ago

Frederick, Maryland, United States Amergis Full time
About the Role

The RN Case Manager is a critical member of our healthcare team, responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime.

Key Responsibilities
  • Perform and coordinate initial assessments and ongoing reassessments of patient status
  • Document patient case information within a database system
  • Perform chart review/audits monthly or as needed
  • Participate in monthly case conferences by providing information pertinent to patient's needs/goals
  • Partner with the Program Director in development and review of the patient's individualized coordination of care plan
  • Ensure that the patient's medical needs are addressed; consult with the patient's physicians as needed, coordinating plans of treatment, and advocating for the patient when necessary
  • Promote understanding of the medical factors affecting the targeted population
  • Identify and assist patients in accessing entitlements, resources, information, and referrals for psychosocial needs
  • Participate in Quality Assurance and Utilization Review activities, as directed
  • Empower patients in decision-making for care planning
  • Maintain accurate and timely patient information, which is readily accessible for review and meets all requirements; assist in data collection for reporting/funding sources
  • Foster intra-facility and inter-facility working relationships to help accomplish goals; act as a liaison between primary care providers, specialists, and/or patients
  • Advocate on behalf of patients regarding accessibility of services
  • Follow State/County mandated guidelines for the nurse case management programs
  • Participate in outreach activities to the entire target population, as directed
  • Recommend program/service changes to meet gaps in service in the community
  • Perform other duties as assigned/necessary
Requirements
  • Current RN licensure in state practicing
  • At least one year of Case Management experience preferred
  • Complies with all relevant professional standards of practice
  • Participation and completion of Amergis' Competency program when applicable
  • Current CPR if applicable
  • TB questionnaire, PPD or chest x-ray if applicable
  • Current Health certificate (per contract or state regulation)
  • Must meet all federal, state and local requirements
  • Successful completion of new hire training as applicable to job site
  • Understand patient confidentiality and HIPAA requirements
  • Ability to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong communication skills; proficiency in the English language is required
  • Computer proficiency required
  • Must be at least 18 years of age
Benefits

Amergis offers a competitive benefits package, including:

  • 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.

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