Registered Nurse Case Management Specialist
1 week ago
Position Title: Registered Nurse Case Management Specialist
Department: Medical Services
Supervised By: Medical Director
Status: Exempt
Compensation: $79,434-$117,074 Annually DOE
Work Schedule: Full Time, Monday-Friday, 8:00 AM - 4:30 PM
PRIMARY RESPONSIBILITIES:
The Registered Nurse Case Management Specialist (RNCMS) plays a pivotal role in spearheading the Case Management Team. This position is dedicated to assisting individuals facing chronic illnesses, mental health challenges, or significant life changes in accessing essential clinic services, rehabilitation programs, and community resources. Key responsibilities include:
- Conducting comprehensive assessments of patients and their families.
- Facilitating connections between patients and professional services.
- Maintaining ongoing communication with patients to monitor their health status.
- Evaluating treatment plans and collaborating with a multidisciplinary team to make necessary adjustments based on patient progress.
KEY DUTIES:
Leadership Responsibilities:
- Collaborate with department leadership to establish and implement departmental goals that align with organizational objectives.
- Oversee the development and evaluation of departmental policies and procedures to ensure effective program operations.
- Manage critical cases within the medical department.
- Supervise subordinate staff, including scheduling, assignments, and performance monitoring.
Clinical Responsibilities:
- Assess patients' physical and mental health needs to create tailored care plans.
- Work collaboratively with patients, families, and healthcare professionals to deliver high-quality, patient-centered care.
- Document patient interactions and progress in the electronic health record system.
- Regularly evaluate patient progress and adjust care plans as necessary.
- Coordinate referrals for additional medical or therapeutic evaluations based on patient needs.
- Ensure patients are engaged in their treatment decisions and provide necessary support.
- Build strong relationships with healthcare teams throughout the case management process.
- Assist patients with financial assistance referrals and eligibility determinations.
- Maintain communication with community resources to support patient needs.
- May perform clinical nursing duties during staffing shortages.
- Other responsibilities as assigned.
QUALIFICATIONS:
Education and Experience: A valid California Registered Nurse license is required. A minimum of three years of experience in clinical case management or a related healthcare role is preferred. Knowledge of HIPAA regulations is essential.
Licensure: A valid California driver's license is required, along with insurability under the organization's vehicle insurance policy.
Character Requirements: Candidates must demonstrate integrity, responsibility, and sound judgment. Strong interpersonal skills and the ability to work collaboratively with diverse populations are essential.
Skills: Excellent organizational and communication skills are necessary. Candidates should be able to prioritize tasks effectively and adapt to a dynamic work environment.
Physical Requirements: Ability to perform duties in a clinical setting, including sitting or standing for extended periods and lifting up to 25 lbs.
Compliance: Employees are expected to adhere to all organizational policies and participate in compliance training.
INDIAN PREFERENCE: Preference may be given to qualified Native American applicants in accordance with the Indian Preference Hiring Act.
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