As a RN Case Manager, your ability to manage client care with specific knowledge and experience in bedside care, symptom management, crisis intervention and family intervention are feature assets for this high-profile nursing position.
The Nurse Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individuals benefit plan and/or health care needs through communication and available resources to promote optimal, cost-effective outcomes.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This Registered Nurse is responsible to coordinate interdisciplinary professional care of a select patient population as determined by individualized plan of care, clinical pathways, managed care guidelines and contracts. Mobilizes resources and manages the systems to respond to concurrent and respective data analysis, identifying variances.
Collaborate to assess, plan, implement, coordinate, monitor and evaluate options and services to meet an individuals health needs through communication and available resources to promote quality, cost-effective outcomes.
Responsible for effective benefit management, utilization of services and resources. Reviews to determine appropriateness and medical necessity, continued stay and the use of ancillary services using concurrent review process.
Assists the clinical staff in obtaining orders from the physician/practitioners office, only a registered pharmacist can obtain verbal medication orders directly from the physician/practitioners office.
This position is responsible for a caseload of adjudicated delinquent clients and their families who are chronic in delinquent behavioral problems by assisting them to transition out of the juvenile justice system.
Serves in an expanded nursing role to collaborate with Skilled Nursing Facilities, and the Medical Home team to provide a model of care that ensures the delivery of quality, efficient, and cost-effective healthcare services.
Manages Medical Home and Care Coordination nurse case managers in a dedicated region and ensures effective delivery of complex case management, resource utilization intervention, and disease management strategies.