Registered Nurse - Case Management

ERP International•Luke AFB, AZ

16h•Onsite

About The Position

ERP International is seeking a full-time Registered Nurse - Case Management to support the 56th Medical Group at Luke AFB in Arizona. The role provides case management, care coordination, and discharge/disposition planning for inpatient and outpatient settings. The nurse helps service members, veterans, family members, and caregivers identify appropriate options and services for complex healthcare needs, and coordinates care among multiple providers and levels of care. The position addresses patients’ psychosocial, nursing, and medical needs through multidisciplinary care management, and evaluates care and outcomes to support timely, appropriate services. The nurse participates in all phases of the Case Management Program, including assessment, planning, implementation, coordination, monitoring, and evaluation. Duties include identifying patients who may benefit from case management; gathering and documenting patient information; developing and coordinating patient-specific treatment plans; guiding patients and families through the healthcare system; arranging referrals and follow-up; advocating for patients and providing education; coordinating community and military resources; monitoring adherence, outcomes, and resource use; and maintaining records and data in accordance with applicable DoD, Air Force, and facility guidance. The role also involves interdisciplinary meetings, program evaluation, staff orientation and training, and compliance with professional nursing standards, safety and infection control procedures, and equal employment opportunity requirements. The work schedule is Monday through Friday, nine hours between 7:00 a.m. and 5:30 p.m., including a one-hour lunch. The specific schedule depends on the department. Weekends and holidays are not required. ERP describes the position as a full-time W-2 opportunity and offers compensation and comprehensive benefits.

Requirements

Minimum Associate of Science in Nursing (ASN); a Bachelor of Science in Nursing (BSN) is preferred.
At least three years of full-time clinical case management experience for ADN/ASN candidates, or at least two years for BSN candidates, working with adults, children, families, seniors, and groups.
Current, full, active, unrestricted Registered Nurse license in any state.
Certified Case Manager (CCM) through the Commission for Case Management or certification through the American Nurses Credentialing Center (ANCC), or eligibility for certification with the required case management experience: three years for ADN/ASN candidates or two years for BSN candidates.
Current AHA or ARC BLS Healthcare Provider certification.
Ability to pass a government background check/security clearance.
Knowledge and skills in case management assessment, planning, facilitation, and advocacy.
Knowledge of medical privacy and confidentiality requirements, including HIPAA.
Knowledge of AAAHC and The Joint Commission accreditation standards.
Familiarity with Microsoft Office programs, MS Outlook, and the internet.
Ability to communicate tactfully and effectively with people who may be physically or mentally ill, uncooperative, fearful, emotionally distressed, or occasionally dangerous.
Organization, problem-solving, and communication skills to explain medical requirements professionally and courteously to patients, caregivers, and medical and non-medical staff.

Nice To Haves

BSN degree.

Responsibilities

Identify and assess patients and families for case management using referrals, discharge planning, the Medical Evaluation Board process, and other sources.
Collect and assess physical, emotional, psychological, social, and medical information through patient contact, records, and interviews with caregivers and family members.
Develop patient-specific plans of care with short- and long-term goals, and coordinate approval with patients, caregivers, providers, and the healthcare team.
Guide patients and caregivers through the healthcare system and coordinate care plans, referrals, and access to appropriate services.
Advocate for patients and ensure they and their caregivers receive appropriate education and support adherence to treatment plans.
Coordinate care across inpatient, outpatient, alternate healthcare settings, and home and community environments.
Develop and maintain military and community resource connections to optimize access to appropriate, cost-effective services.
Document and update treatment plans, patient data, medical records, coding, tracking logs, and reports in accordance with applicable guidelines.
Monitor treatment-plan adherence and response, follow-up timeliness, care outcomes, variances from standards, interventions, and resource utilization.
Monitor and evaluate the facility’s case management program under applicable DoD, Air Force, and local policies.
Participate in interdisciplinary team, facility, and care coordination meetings and share relevant clinical and case management knowledge.
Participate in case management program evaluation and the orientation and training of staff; may serve on facility committees, work groups, and task forces.
Participate in all phases of the Case Management Program and help ensure that it meets established standards of care.
Develop and implement local case management strategies and tools, including patient identification and assessment tools, clinical guidelines, algorithms, software, and community-resource databases.
Integrate case management with utilization management and social work case management.
Maintain liaison with community agencies and organizations.
Develop treatment plans with preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to support continuity of care and wellness.
Establish processes for treatment-plan implementation and post-discharge follow-up in ambulatory and community healthcare settings.
Provide health care instruction to patients and caregivers based on identified learning needs.
Complete required electronic medical record training, facility orientation, and Air Force/DoD-mandated case management training.
Comply with applicable nursing standards, EEO requirements, infection control, and safety policies and procedures.