Registered Nurse - Case Manager

Core Responsibilities Engage comprehensively in all components of the Case Management Program (CMP) to ensure compliance with established case management (CM) standards of care. Leverage nursing expertise throughout the CM process, involving assessment, planning, implementation, coordination, and monitoring. Identify opportunities to enhance CM efficacy and integrate local CM methodologies. Design and execute localized strategies encompassing inpatient, outpatient, onsite, and telephonic case management. Create and implement tools that underpin case management functions, including instruments for patient identification and assessment, adherence to clinical practice guidelines, algorithms, CM software, and community resource databases. Facilitate the integration of case management with utilization management (UM) and harmonize nursing case management with social work case management. Maintain productive relationships with relevant community agencies and organizations. Collect and document patient care data meticulously to ensure accuracy and compliance. Formulate comprehensive treatment plans that encompass preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to promote continuity of care aimed at achieving optimal wellness. Establish robust mechanisms to guarantee effective execution of patient treatment plans and ensure adequate follow-up post-discharge in both ambulatory and community healthcare contexts. Deliver tailored health care education to patients and/or caregivers based on assessed learning needs. Work Schedule Monday to Friday, 8.5-hour shifts between 7:00 AM and 5:30 PM. No weekends, holidays, on-call, or call-back duties. Minimum Qualifications Degree: At minimum, an Associate Degree in Nursing. Education: Graduates from programs accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE) are preferred. Alternatively, graduates from a State Board of Nursing or other accredited nursing programs may qualify. Certifications: Candidates must possess one of the following certifications: Certified Case Manager (CCM) from the Commission for Case Manager Certification. Certified Disability Management Specialist (CDMS) from the Certification of Disability Management Specialists Commission. Certified Rehabilitation Registered Nurse (CRRN) from the Association of Rehabilitation Nurses. Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse-Specialist (COHN-S) from the American Board for Occupational Health Nurses. Advanced Certification in Continuity of Care (ACCC) from the National Board for Certification in Continuity of Care. Certified Rehabilitation Counselor (CRC) from the Commission on Rehabilitation Counselor Certification. Nurse Case Manager (RN-NCM) from the American Nurses Credentialing Center. Care Manager Certified (CMC) from the National Academy of Certified Care Managers. Experience: Minimum of one year of post-graduation nursing experience. Licensure: A current, full, active, and unrestricted Registered Nurse license from any state. Certification: Current Basic Life Support (BLS) Healthcare Provider certification from AHA or ARC. Security: Must be able to successfully pass a government background check/security clearance. #J-18808-Ljbffr 77 consultants