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Nurse Case Manager
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Wilmington, Delaware, United States ChristianaCare Full timeJob SummaryChristianaCare is seeking a skilled Registered Nurse to join our Case Management team. As a Case Manager, you will play a critical role in ensuring the seamless transition of patients through the healthcare system.Key Responsibilities:Develop and implement individualized care plans to meet the unique needs of each patient.Collaborate with...
Nurse Case Manager
2 months ago
ChristianaCare is seeking a skilled Registered Nurse Case Manager to join our team in Wilmington, Delaware.
Job Summary:We are looking for a highly motivated and experienced Registered Nurse Case Manager to coordinate the utilization of healthcare resources, including transition planning, and facilitate the achievement of clinical, quality, financial, and member satisfaction goals.
Key Responsibilities:- Perform ongoing telephonic case management activities of assessment, problem identification, planning, implementation, coordination, monitoring, and evaluation of case-managed members.
- Collaborate with patients, caregivers, and members of the multi-disciplinary care team to develop a member-centered plan of care to meet identified member care goals and outcomes.
- Develop, implement, evaluate, and revise case management care plans according to case management eligibility criteria, contractual guidelines, and members' physical and psychological needs throughout the continuum of care.
- Identify system issues that serve as barriers to care. Participate in the development and implementation of strategies to remove barriers and promote resolution through the coordination of a problem-solving process.
- Promote member wellness and autonomy through advocacy, communication, education, and identification and referral to community resources or other case management programs such as disease management programs.
- Identify appropriate providers and facilities through the continuum of services and ensure that available resources are being used in a timely and cost-effective manner.
- Collaborate with transitional, embedded, and inpatient case managers in the discharge and transitional care process, obtaining and/or coordinating appropriate resources for members throughout the continuum of care.
- Stratifies and/or validates member's level of risk during each transition process and interaction with the member.
- Collaborates with health care providers in settings not limited to the PCP office, hospital, skilled nursing facility, or home care agencies to assist members in coordinating safety.
- DE RN License or Compact Nursing License
- BSN is required or a commitment to obtain within 3 years of the hire date
- 2-5 years relevant experience in Utilization Management or Case Management
- The ability to obtain a non-compact state RN Licensure as needed
- Active Basic Life Support (BLS) certification
- Case Management Certification is preferred through the Commission for Case Management (CCM) within 18 months of eligibility
- Advanced Certification is recommended
- Holiday Pay
- Guaranteed Hours
- Continuing Education
- 403b retirement plan
- Pet insurance
- Cancelation protection
- Wellness and fitness programs
- Mileage reimbursement
- Employee assistance programs
- Medical benefits
- Dental benefits
- Vision benefits
- License and certification reimbursement
- Life insurance
- Discount program
