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.
Manage in a case management system (EMR) using ongoing interaction with patients, physicians, and other health providers to meet designated clinical, operational, and financial outcomes for aggregate patient populations.
The Case Manager works with insurance carriers, medical care providers, attorneys, employers and employees, and closely monitors the progress of the injured worker and reports results back to the employer and insurance carrier.
This position will complete psychosocial assessments, assist with treatment planning, monitoring patient progress, facilitating patient and family meetings, and coordinating and implementing discharge services.
Facilitates and insures the achievement of goals set by the Case Management/Performance Improvement programs such as quality patient care, timely and appropriate resource use and minimal financial risk.
Directs activities relating to complex social service coordination, including locating and referring patients to community resources and support while working collaboratively with providers to develop creative, cost effective continuing care plans; identifying alternate levels of care as needed and works with interdisciplinary team to achieve improved health outcomes.
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.