RN Case Manager

4 weeks ago

Madison, Wisconsin, United States Amergis Full time

Job Summary

The RN Case Manager - Care Coordinator is responsible for coordinating the continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. This role requires a strong understanding of healthcare systems and the ability to communicate effectively with patients, families, and healthcare providers.

Key Responsibilities

Performs and coordinates the initial assessments and ongoing reassessments of the patient's status

Documents patient case information within a database system

Performs chart review/audits monthly or as needed

Participates in monthly case conferences by providing information pertinent to patient's needs/goals

Partners with the Program Director in development and review of the patient's individualized coordination of care plan

Ensures that the patients' medical needs are addressed; consults with the patients' physicians as needed, coordinating plans of treatment, and advocating for the patient when necessary

Promotes understanding of the medical factors affecting the targeted population

Identifies and assists patient(s) in accessing entitlements, resources, information, and referrals for psychosocial needs

Participates in Quality Assurance and Utilization Review activities, as directed

Empowers patients in decision-making for care planning

Maintains accurate and timely patient information, which is readily accessible for review and meets all requirements; assists in data collection for reporting/funding sources

Fosters intra-facility and inter-facility working relationships to help accomplish goals; acts as a liaison between primary care providers, specialist, and/or patient

Advocates on behalf of patient regarding accessibility of services

Follows State/County mandated guidelines for the nurse case management programs

Participates in outreach activities to the entire target population, as directed

Recommends program/service changes to meet gaps in service in the community

Performs other duties as assigned/necessary

Requirements

Current RN licensure in 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

About Amergis

Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions.

Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

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