RN - Case Manager

RN Case Manager

The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime.

Essential Duties and Responsibilities:

• Performs and coordinates the initial assessments and ongoing reassessments of the patient's status
• Documents patient case information within a database system
• Performs chart review/audits monthly or as needed
• Participates in monthly case conferences by providing information pertinent to patient's needs/goals
• Partners with the Program Director in development and review of the patient's individualized coordination of care plan
• Ensures that the patients' medical needs are addressed; consults with the patients' physicians as needed, coordinating plans of treatment, and advocating for the patient when necessary
• Promotes understanding of the medical factors affecting the targeted population
• Identifies and assists patient(s) in accessing entitlements, resources, information, and referrals for psychosocial needs
• Participates in Quality Assurance and Utilization Review activities, as directed
• Empowers patients in decision-making for care planning
• Maintains accurate and timely patient information, which is readily accessible for review and meets all requirements; assists in data collection for reporting/funding sources
• Fosters intra-facility and inter-facility working relationships to help accomplish goals; acts as a liaison between primary care providers, specialist, and/or patient
• Advocates on behalf of patient regarding accessibility of services
• Follows State/County mandated guidelines for the nurse case management programs
• Participates in outreach activities to the entire target population, as directed
• Recommends program/service changes to meet gaps in service in the community
• Performs other duties as assigned/necessary

Minimum Requirements:

• Current RN licensure in state practicing
• At least one year of Case Management experience preferred
• Complies with all relevant professional standards of practice
• Participation and completion of Amergis' Competency program when applicable
• Current CPR if applicable
• TB questionnaire, PPD or chest x-ray if applicable
• Current Health certificate (per contract or state regulation)
• Must meet all federal, state and local requirements
• Successful completion of new hire training as applicable to job site
• Understand patient confidentiality and HIPAA requirements
• Ability to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong communication skills; proficiency in the English language is required
• Computer proficiency required
• Must be at least 18 years of age

Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:

• Competitive pay & weekly paychecks
• Health, dental, vision, and life insurance
• 401(k) savings plan
• Awards and recognition programs

*Benefit eligibility is dependent on employment status.