Nurse Case Manager (RN) - Monday-Friday role!

Sage Health•Woodlawn, MD

About The Position

The Nurse Case Manager (RN) is responsible for implementing and reviewing healthcare plans for patients that are geriatric, recovering from serious injuries, or dealing with chronic illnesses. Nurse Case Managers work both within and outside of a hospital or medical facility. The Nurse Case Manager also collaborates with doctors and other medical professionals to give their assigned patients the comprehensive care that they need. This includes advocating for their patients, coordinating their care, and providing other healthcare services and education. Demonstrates competency and skills to serve a diverse geriatric population.

Requirements

B.S. Degree in Nursing
Valid and active Registered Nurse license in the state of employment.
Certification in Basic Life Support
2-3 years' experience working in an inpatient, outpatient I.e., Home Health, Hospice, or health plan case management.
Strong knowledge of clinical assessment skills and experience with chronic disease management
Experienced working in medically underserved/culturally diverse communities
Excellent interpersonal, written, and verbal communication skills
Must be organized and attentive to detail.
Ability to manage competing priorities.
Ability to work in a fast-paced environment
Resourcefulness in problem solving
Able to take and follow through with assigned tasks and accountability.
Valid driver's license, car insurance, and access to an automobile
Must be able to travel between multiple healthcare facilities I.e., centers, hospitals, skilled nursing facilities, and patient homes.
Strong knowledge of clinical assessment skills and experience with chronic disease management
Experience working with an electronic health record
Must be skilled in web navigation and use of mobile hotspots.
Experience with Microsoft Office Word, Outlook, and Excel.
Full COVID-19 vaccination (including boosters) an essential requirement of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. Sage Health will adhere to all federal, state, and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance

Nice To Haves

Certification in Case Management I.e., ACM (Accredited Case Manager) or CCM (Case Manager Certification) CCM
Managed care experience I.e. Medicare HMO, D-SNP
Motivational interviewing
Bilingual Spanish and English

Responsibilities

Ensure patient information remains secure and confidential.
Maintains a safe, secure, and healthy work environment by following Sage Health policy and procedures, complying with legal regulations.
Create and manage the plan of care for patients with chronic or serious conditions such as diabetes, heart disease, chronic heart failure, and cancer etc.
Advocate for personalized treatment options that address a patient’s unique care needs.
Schedule patients’ hospital post discharge appointment, within 72 hours (3 days) post discharge and follow up to ensure they attended.
Communicate about a patient’s health condition with the patient and their family.
In collaboration with the patient's primary care physicians offer education and guidance for navigating complex medical decisions.
Serve as a liaison between patients and their insurance providers to promote quality, cost-effective care with the best patient outcomes.
Verifies daily Sage Health patient hospital census and planned discharges.
In collaboration with the Chief Medical Officer or designee, identifies and provides appropriate resources and information to assist patients and their family members related to their diagnosis.
Holds regular cadence of meetings, and communications with the following: clinical support staff, physician, and operations leadership.
Assist primary care physicians in executing virtual appointments in patients' home.
Ensures the overall quality of healthcare for each patient.
Ensures patient electronic health records are updated with the most recent medical treatments
Assist primary care physicians in executing virtual appointments in patients' home.
Maintains a state of readiness for health plan audits, local, state, and federal inspections.
Responsible for staying up to date and knowledgeable of all nursing regulations in support of the clinical staff.
Perform other duties as assigned