The RN case manager consults as needed with the physician and the office giving details about patient care. Performing accurate OASIS collection, ensuring the medication profile remains current, ensuring lab values have been reported to the physician timely, attending weekly case conference and monthly case manager.
In this role, the selected candidate will ensure coordination of care delivery processes, to include alternate healthcare settings and the home environment, for the purposes of enhancing the patient's health and wellness, safety, productivity, and quality of life, and for providing the most beneficial, cost-effective health care.
In this role, the selected candidate will be responsible for monitoring and evaluation may include, but is not limited to: patients adherence and response to the treatment plan; timeliness of patient and family/caregiver contact and follow-up.
In this role, you will develop an appropriate patient-specific plan of care to include short and long term goals, objectives and actions. Coordinates, collaborates, and obtains approval of the plan among the patient, family/caregiver, primary provider and other members of the healthcare team.
In this role, the selected candidate will guide the patient and family/care giver through the healthcare system, maximizing use of resources; coordinate and execute the plan of care, optimizing access to appropriate services.