RN Case Manager

15 hours ago

Stevens Point, Wisconsin, United States Amergis Full time

Job Summary:

Amergis is seeking a skilled RN Case Manager to coordinate continuum of care activities for assigned patients and ensure optimum utilization of resources, service delivery, and compliance with medical regime.

Key Responsibilities:

  • Perform and coordinate initial assessments and ongoing reassessments of patients' status
  • Document patient case information within a database system
  • Participate in monthly case conferences by providing information pertinent to patients' needs/goals
  • Partner with the Program Director in development and review of patients' individualized coordination of care plans
  • Ensure that patients' medical needs are addressed; consult with patients' physicians as needed, coordinating plans of treatment, and advocating for patients when necessary
  • 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

Requirements:

  • Current RN licensure in the 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

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