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Registered Nurse Case Manager

2 months ago

Little Rock Air Force Base Arkansas, United States ERP International Full time
About the Role

We are seeking a highly skilled Registered Nurse Case Manager to join our team at ERP International. As a key member of our healthcare team, you will be responsible for providing exceptional patient care and coordination of services to ensure optimal wellness.

Key Responsibilities
  • Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established CM standards of care.
  • Identify and screen patients to determine needs and resources required for CM services. Perform comprehensive patient and family/caregiver needs assessments.
  • Develop comprehensive care plans which address patient, family/caregiver's desired or expected goals and outcomes, to include preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to ensure continuity of care toward the goal of optimal wellness.
  • Utilize coordination, collaboration, and communication with the patient, multi and/or interdisciplinary team to implement the plan of care.
  • Facilitate timely access to the appropriate level of care by coordinating referrals and transitioning the veteran to VA, DOD other federal, state and local home and community-based services.
  • Provide nursing expertise about the CM process, including assessment, planning, implementation, coordination, and monitoring. Identify opportunities for CM and identify and integrate local CM processes.
  • Develop and implement tools to support CM, such as those used for patient identification and patient assessment, clinical practice guidelines, algorithms, CM software, and databases for community resources.
  • Integrate CM and utilization management (UM) and integrating nursing CM with social work CM.
  • Evaluate CM processes to determine interventions effectiveness, support continuous performance improvement and ensure a high quality and sustainable CMP.
  • Maintain liaison with appropriate community agencies and organizations.
  • Accurately collect and document patient care data in accordance with local policy and nursing standards of practice.
  • Establish mechanisms to ensure proper implementation of patient treatment plan and follow-up post discharge in ambulatory and community health care settings.
  • Provide appropriate health care instruction to patient and/or caregivers based on identified learning needs.
Requirements
  • Possess a Bachelor's degree of Nursing.
  • Graduate from a college or university accredited by the Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE), or a national nursing accrediting agency recognized by the US Department of Education.
  • Possess a minimum experience of at least 2 years of full time clinical nursing case manager after graduation.
  • Must have the knowledge and skills to effectively apply the following core CM functions:
    • Assessment: Identification of patients for CM; comprehensive collection of patient information and medical status; and continued evaluation of an established plan of care.
    • Planning: Collaboration with the patient, family/caregiver, primary provider, and other members of the health care team for developing an effective plan of care.
    • Facilitation: Care coordination and communication among all involved parties.
    • Advocacy: Support for the patient and family/caregivers to ensure identified education and appropriate, timely care is received.
  • Must be knowledgeable in medical privacy and confidentiality (Health Insurance Portability and Accountability Act [HIPAA]); accreditation standards of Accreditation Association for Ambulatory Health Care (AAAHC) and The Joint Commission (TJC).
  • Possess and maintain a current certification from one of the following accredited organizations: (CCM), (CDMS), (CRRN),(COHN),(COHN-S), (ACCC), (CRC), (RN-NCM),(CMC)
  • Current, full, active and unrestricted license as a Registered Nurse
  • Security: Must possess ability to pass a Government background check/security clearance.
  • Life Support Certification: Possess a current AHA OR ARC BLS Healthcare Provider certification.