RN Case Manager
4 weeks ago
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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