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Clinical Nurse Case Manager (RN)

Credenza Health

Clinical Nurse (RN), Case Manager

ERP International is seeking a Clinical Nurse (RN), Case Manager for a Full-Time position in support of the 42 Medical Group at Maxwell AFB, AL. Join our team of exceptional health care professionals across the nation. ERP International is honored to be named a 2026 Top Workplace by WTOP News! 7 Years Running. Excellent Compensation & Exceptional Comprehensive Benefits! Paid Vacation, Paid Sick Time, Plus 11 Paid Federal Holidays! Medical/Dental/Vision, STD/LTD/Life, and Health Savings Account available! Annual CME Stipend and License/Certification Reimbursement! Matching 401K! ERP is a nationally respected provider of health, science, and technology solutions supporting clients in the government and commercial sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states. Founded in 2006, ERP is headquartered in Laurel, MD and maintains satellite offices in Montgomery, AL and San Antonio, TX - plus project locations nationwide. ERP is an Equal Opportunity Employer - Disability and Veteran.

Responsibilities

Work Schedule: Monday - Friday, 9 hours between 7:00am and 5:00pm, including a one hour lunch

Core Duties:

  • Proactively identify candidates for CM or care coordination services using analytic tools, predictive analytics, and CM registries. Referrals may also come from the PCM/interdisciplinary healthcare team.
  • Identify individuals with chronic, catastrophic, complex, high utilization, high-risk, or high-cost health issues who would benefit from CM services and notify PCM teams, in accordance with DHA-AI 6025.39.
  • Provide CM and/or care coordination to these patients: Assess the patients' needs, develop personalized care plans, and facilitate access to necessary healthcare services and community resources.
  • Provide education to patients and their families. Advocate for the patient's needs to ensure timely and appropriate delivery of care.
  • Collaborate with PCM teams on CM activities. Provides routine updates and outcome metrics on patients enrolled in CM programs to PCM teams.
  • Provide behavioral health (BH) CM services and follow-up communications to eligible BH patients, in collaboration with the MTF Behavioral Health Lead, IAW DHA-AI 6025.39.
  • Document all CM or care coordination encounters within the patient's EHR using proper coding and data capture IAW MHS coding guidance and DHA AI 6025.39. Document patient interactions, referrals, and care plans to maintain consistency and track progress.
  • Maintain a current registry of all patients receiving CM services. Coordinate with the PCM team staff members about patients moving into CM care (into the registries) and graduating from primary CM care back to the team (off the registries) and document such in an EHR note.
  • Provide CM/care coordination training, guidance, and mentoring to MTF personnel who utilize these services in their empaneled patients.
  • Participate in the MTF Medical Management, Population Healthy, Quality, and care coordination meetings as well as appropriate DHA or network webinars, meetings, or work groups.

Qualifications

Minimum Qualifications: Degree/Education: Bachelor's degree of Nursing. Graduate from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE) Incumbent degree may be considered if lower than required. Experience: Minimum of 24 months of full-time experience within the last 60 months working in case management, care coordination, or a related role with significant, direct responsibility for comprehensive client service planning and advocacy. Prior experience working with military or wounded warriors is highly valued but not required. Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse. Certification: A certification is highly recommended but not required Life Support Certification: Possess current ARC or AHA BLS Healthcare Provider certification. Security: Must possess ability to pass a Government background check/security clearance.

Credenza Health
Vacancy posted 1 day ago
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