Nitelines USA is currently looking to fill a RN Case Manager position in Cherry Point, NC.
Below is a brief job description;
Location: Havelock, NC 28533
RN Case Manager Job Description:
Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case management (CM) standards of care. Assist in coordinating a multidisciplinary team to meet the health care needs, including medical and/or psychosocial management, of specified patients.
Serve as consultant to all disciplines regarding CM issues. 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 local strategies using inpatient, outpatient, onsite and telephonic CM; develop and implement policies and protocols for home health assessments and outcome measures.
Develop and implement tools to support case management, such as those used for patient identification and patient assessment, clinical practice guidelines, algorithms, CM software, databases for community resources, etc.
Integrate CM and utilization management (UM) and integrate nursing case management with social work case management. Prepare routine reports and conduct analyses.
Assist in establishing and maintaining liaison with appropriate community agencies and organizations, the TRICARE Lead Agent office, and the Managed Care Support Contractor.
Maintain adherence to JCAHO, URAC, CMSA and other regulatory requirements. Apply medical care criteria (e.g., InterQual).
Ensure accurate collection and input of patient care data and ensure basic CM budgetary management.
Oversee MTF CM resources and make recommendations to the Command as to how those resources can best be utilized.
Collaborate with the multidisciplinary team members to set patient-specific goals. Develop treatment plans including preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to ensure continuity of care toward the goal of optimal wellness.
Establish and implement mechanisms to ensure proper implementation of patient treatment plan and follow-up post discharge in ambulatory and community health care settings.
Provide nursing advice and consultation in person and via telephone.
Ensure appropriate health care instruction to patient and/or caregivers based on identified learning needs.
Alert physicians to significant changes or abnormalities in patients and provide information concerning their relevant condition, medical history and specialized treatment plan or protocol.
Facilitate multidisciplinary discharge planning and other professional staff meetings as indicated for complex patient cases and develop a database and knowledge of local community resources.
Develop and implement mechanisms to evaluate the patient, family and provider satisfaction and use of resources and services in a quality-conscious, cost-effective manner.
Implement strategies to ensure smooth transition and continued health care treatment for patients when the military member transfers out of the area. Develop a policy for, and assist with, region-to-region transfers.
Facilitate screening and assist with transfers of Exceptional Family Member Program (EFMP) families.
Plan for professional growth and development as related to the case manager position and maintenance of CM certification. Actively participate in professional organizations including participation in at least one annual national CM conference to be funded by the Government to be scheduled at the convenience of the government and the HCW.
Establish cost containment/cost avoidance strategies for case management and develop mechanisms to measure its cost effectiveness.
Assist with the CHCS/AHLTA CM interface or other database designed to support CM.
Participate in video teleconferences (VTCs) and other meetings as required.
Possess education as follows: Either (a), a bachelor's degree in Nursing; or (b) a diploma graduate in Nursing; or (c) an associate degree in Nursing from an accredited university.
Possess current unrestricted license to practice as a registered nurse in one of the fifty states, the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S. Virgin Islands.
Possess current certification in a minimum of one of the following:
(a) Certified Case Manager (CCM) issued by the Commission for Case Manager Certification
(b) Certified Disability Management Specialist (CDMS) issued by the Certification of Disability Management Specialists Commission
(c) Certified Rehabilitation Registered Nurse (CRRN) issued by the Association of Rehabilitation Nurses
(d) Certified Occupational Health Nurse (COHN) issued by the American Board for Occupational Health Nurses
(e) Advanced Certification in Continuity of Care (ACCC) issued by the National Board for Certification in Continuity of Care
(f) Certified Rehabilitation Counselor (CRC) issued by the Commission on Rehabilitation Counselor Certification
(g) Nurse Case Manager (RN-NCM) issued by the American Nurses Credentialing Center
(h) Care Manager Certified (CMC) issued by the National Academy of Certified Care Managers
To be considered for this opportunity, please respond to this email with ALL of the following documents;
1. Current copy of your resume
2. Copy of your RN Licensure
3. Copy of any Case Management Certifications