Nurse Case Manager

Inomedic Health Applications•Hurlburt Field, FL

13h•Onsite

About The Position

THIS POSITION REQUIRES THE ABILITY TO OBTAIN AND MAINTAIN A SECRET CLEARANCE. Must Provide a Full range of professional health nursing principles, practices, and procedures in a clinical setting in order to analyze the full scope of problems associated with providing appropriate, cost effective care to the Department of Defense (DoD) beneficiaries.

Requirements

Ability to obtain and maintain a Secret Clearance.
Oral and written communication skills.
Skill in team coordination, facilitation, and communication.
Knowledge of local, state, and federal laws and regulations, professional code of ethics, and practice standards.
Knowledge and skill in using pre-established utilization review criteria.
Knowledge and skill in the use of VA/DOD Clinical Practice Guidelines.
Knowledge of the healthcare financial environment and the fiscal dimension of population health.
Skill in use of research tools.
Skill in management of information systems and technology.
Knowledge of computers and software applications.
Knowledge of pharmaceuticals, their desired effects, side effects, and complications of their use.
Knowledge of community resources, patient entitlement/benefit eligibility, and ability to access these resources.
Knowledge of current third-party regulations and policies, with special emphasis on TRICARE and Medicare benefits and services.
Bachelor's degree in nursing (RN).
Minimum of two years nursing experience.
Certified as a case manager by a recognized certifying organization, i.e. Commission for Case Management Certification or the American Nurse Credentialing Center.
Current, full, active, and unrestricted license as a Registered Nurse in any one of any U.S. State, the District of Columbia, Guam, Puerto Rico or U.S. Virgin Islands.
Must maintain current certification in Basic Cardiac Life Support (BCLS) as certified by the American Heart Association.
May be required to receive and maintain clinical practice privileges.
Must maintain credentials requirements in good standing at a local MTF.

Responsibilities

Provide a full range of professional health nursing principles, practices, and procedures in a clinical setting.
Analyze the full scope of problems associated with providing appropriate, cost effective care to the Department of Defense (DoD) beneficiaries.
Meaningfully interact with peers, outside agencies, vendors, providers, and Military Health System (MHS) stakeholders to exchange information, provide briefings, presentations, research, and metrics to demonstrate or advance effective, efficient case management practice, outcomes, and organizational/MHS value.
Facilitate the exchange of information/education, enhance goal achievement; augment abilities of client support network, and effect change in system or policy at any level.
Ensure adherence within legal and professional parameters by understanding local, state, and federal laws and regulations, professional code of ethics, and practice standards.
Recognize and report actual or potential quality and risk management issues in order to improve practice and ensure compliance using pre-established utilization review criteria.
Ensure an evidence-based standardized process of care to military beneficiaries using VA/DOD Clinical Practice Guidelines.
Ensure optimal stewardship of resources by understanding the healthcare financial environment and the fiscal dimension of population health.
Critically evaluate existing practices, opportunities, and outcomes using research tools.
Manage individual or population health, continuously improve practice, and effectively communicate practice outcomes to involved stakeholders using information systems and technology.
Conduct data collection, tracking, rendering, and analysis using computers and software applications.
Design and present computer-generated outcome analysis information in order to provide timely, effective peer and higher-level educational programs or project briefings.
Gauge the effect of pharmaceuticals, their desired effects, side effects, and complications of their use on patients and their recovery.
Assist patients/families in optimizing their level of function and self-care by understanding community resources, patient entitlement/benefit eligibility, and the ability to access these resources.
Identify alternative financing sources to which DOD beneficiaries may be entitled by understanding current third-party regulations and policies, with special emphasis on TRICARE and Medicare benefits and services.
Perform other duties as assigned by management.