Registered Nurse - Case Management

ERP International•Luke AFB, AZ

4d•Onsite

About The Position

ERP International is seeking a full-time Registered Nurse - Case Management to support Active Duty wounded and injured members at 56th Medical Group at Luke AFB, AZ. This role involves providing case management, care coordination, and discharge/disposition planning in inpatient and outpatient settings. The nurse will assist service members, veterans, families, and caregivers in navigating complex healthcare needs, including acute, chronic, and life-threatening illnesses, combat stress, traumatic brain injury residuals, community adjustment, and addictions. The position requires coordination with multiple providers across various care levels and sites, addressing psychosocial, nursing, and medical needs, and evaluating care and outcomes to ensure timely and appropriate service provision.

Requirements

Minimum ASN, BSN preferred for Case Management, graduate from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE)
Three years of experience within the last four years as a registered nurse
Current, full, active, and unrestricted license to practice as a Registered Nurse, any state.
Certified Case Manager by Commission for Case Management (CCM) or Certification of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS) -OR- Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) -OR- American Board for Occupational Health Nurses Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse-Specialist (COHN-S) -OR- National Board for Certification in Continuity of Care: Advanced Certification in Continuity of Care (ACCC) -OR- Commission on Rehabilitation Counselor Certification: Certified Rehabilitation Counselor (CRC) -OR- American Nurses Credentialing Center Nurse Case Manager (RN-NCM) -OR- National Academy of Certified Care Managers: Care Manager Certified (CMC) -OR- Completion of an accredited residency approved by the Accreditation Council for Graduate Medical Education (ACGME).
Possess a current AHA or ARC BLS Healthcare Provider certification.
Must possess ability to pass a Government background check/security clearance.
Must have the knowledge and skills to effectively apply the following core case management functions: a) Assessment: Identification of patients for case management; comprehensive collection of patient information and medical status; and continued evaluation of an established plan of care; b) Planning: Collaboration with the patient, family/caregiver, primary provider and other members of the health care team for developing an effective plan of care; c) Facilitation: Care coordination and communication among all involved parties; d) Advocacy: Support for the patient and family/caregivers to ensure identified education and appropriate, timely care is received.
Must be knowledgeable in medical privacy and confidentiality (Health Insurance Portability and Accountability Act [HIPAA]); accreditation standards of Accreditation Association for Ambulatory Health Care (AAAHC) and The Joint Commission (TJC); and computer applications/software to include Microsoft Office programs, MS Outlook (e-mail), and internet familiarity is required.
Must be skillful and tactful in communicating with people who may be physically or mentally ill, uncooperative, fearful, emotionally distraught, and occasionally dangerous.
Must possess organization, problem-solving and communication skills to articulate medical requirements to patients, families/care givers, medical and non-medical staff in a professional and courteous way.

Nice To Haves

BSN preferred for Case Management

Responsibilities

Proactively identifies and evaluates patients and families for case management from various sources.
Conducts systematic, on-going, thorough collection of patient’s physical, emotional, psychological, social and medical status and information.
Develops an appropriate patient-specific plan of care to include short and long term goals, objectives and actions.
Coordinates, collaborates, and obtains approval of the plan among the patient, family/caregiver, primary provider and other members of the healthcare team.
Guides the patient and family/care giver through the healthcare system, maximizing use of resources.
Coordinates and executes the plan of care, optimizing access to appropriate services.
Ensures necessary referrals are ordered by the appropriate discipline and coordinated.
Serves as an advocate for, and ensures education is provided to, the patient and family/caregiver as required.
Promotes adherence to treatment plans for improved healthcare outcomes.
Ensures coordination of care delivery processes, to include alternate healthcare settings and the home environment.
Develops, utilizes and maintains a variety of military and community resources to optimize access to services and medical care.
Ensures timely and appropriate provision of services.
Documents and updates the treatment plan as needed in accordance with existing DoD, AF, local facility and other agency guidelines.
Maintains documentation and data collection in accordance with DoD, AF, local facility and other specified agency guidelines.
Conducts and/or participates in program evaluation as directed.
Monitors and evaluates the facility’s case management program per DoD, AF and local policies and guidelines.
Coordinates and participates in interdisciplinary team meetings, designated facility meetings, and Care Coordination meetings.
Shares knowledge and experiences gained from own clinical nursing practice and education relevant to nursing and case management.
Participates in the orientation and training of other staff.
May serve on committees, work groups, and task forces at the facility.
Completes medical record documentation and coding, and designated tracking logs and data reporting as required.
Completes all required electronic medical record training, MTF-specific orientation and training programs, and AF/DoD mandated Case Management training.
Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case management (CM) standards of care.
Provide nursing expertise about the CM process, including assessment, planning, implementation, coordination, and monitoring.
Identify opportunities for CM and identify and integrate local CM processes.
Develop and implement local strategies using inpatient, outpatient, onsite and telephonic CM.
Develop and implement tools to support case management, such as those used for patient identification and patient assessment, clinical practice guidelines, algorithms, CM software, and databases for community resources.
Integrate CM and utilization management (UM) and integrating nursing case management with social work case management.
Maintain liaison with appropriate community agencies and organizations.
Accurately collect and document patient care data.
Develop treatment plans including preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to ensure continuity of care toward the goal of optimal wellness.
Establish mechanisms to ensure proper implementation of patient treatment plan and follow-up post discharge in ambulatory and community health care settings.
Provide appropriate health care instruction to patient and/or caregivers based on identified learning needs.