Registered Nurse - Case Manager Traumatic Brain Injury

Decypher•Chicago, IL

About The Position

Decypher seeks a Registered Nurse to provide comprehensive nursing case management for patients with traumatic brain injuries and other complex medical needs. The nurse coordinates multidisciplinary care, assessments, referrals, treatment plans, and transitions of care, while following established standards, BUMED/DHA guidelines, and documentation requirements. The role serves as a clinical resource and patient advocate by assessing medical and psychosocial needs, supporting communication among healthcare teams, patients, and families, tracking outcomes and TBI-related data, and promoting cost-effective, patient-centered care across military and community healthcare settings. The position serves adult patients in inpatient network facilities and outpatient settings, and provides nursing advice and consultation in person and by telephone or email. The nurse collaborates with multidisciplinary teams and community partners to develop individualized plans of care, coordinate services, support continuity of care, and evaluate treatment outcomes. The schedule is Monday through Friday, 6:30 a.m. to 4:30 p.m., plus an unpaid lunch break. Compensation is up to $55.09 per hour, plus $5.09 in H&W.

Requirements

Bachelor of Science in Nursing (BSN) from a college or university accredited by the National League for Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE).
Basic Life Support (BLS) certification.
One qualifying case management, disability management, rehabilitation counseling, continuity of care, or rehabilitation nursing certification, or obtain one within six months of hire. Listed options include CCM, CDMS, CRC, National Board for Certification in Continuity of Care, ACCC, COHN or COHN-S, and Certified Rehabilitation Registered Nurse.
Current unrestricted registered nurse license in one of the 50 states, the District of Columbia, Puerto Rico, Guam, or the U.S. Virgin Islands.
At least two years of inpatient medical-surgical experience or acute rehabilitation experience within the last three years.
U.S. citizenship.

Responsibilities

Implement, manage, and oversee all phases of case management activities for an assigned caseload, ensuring they meet established standards of care.
Continually evaluate the overall effectiveness of daily case management operations.
Deliver treatment within the personnel and equipment capabilities of the FHCC and provide mandated medical surveillance and preventive services.
Maintain the quality and timeliness of treatment records and reports documenting procedures and care.
Provide independent nursing expertise in assessment, data collection, and analysis.
Assess patients’ clinical and psychosocial status, diagnoses, and current treatment plans, and coordinate medical treatments, referrals, and education.
Assess the needs of patients, families, and significant others relating to diagnoses, treatment options, psychosocial impact, and discharge planning.
Provide case management services to inpatients in network facilities, outpatients, and their families who have catastrophic illnesses or complex medical needs.
Plan and provide care to adult patients and provide nursing advice and consultation in person and via telephone or email.
Set patient-centered goals with patients, families, significant others, and the multidisciplinary team.
Use critical pathways, algorithms, databases, and other resources to develop comprehensive multidisciplinary plans of care.
Collect and track TBI-related data, follow BUMED/DHA reporting guidelines, document measurable outcomes, and prepare data analysis reports.
Schedule and coordinate required ancillary services; prepare consult referrals for physician review and signature when needed; and ensure consults are completed, results are received promptly, and results are included in the patient’s chart.
Coordinate smooth transitions and continued care when military members or beneficiaries move out of the area, including region-to-region transfers.
Collaborate with healthcare team members and external partners, including clinics, hospitals, healthcare professionals, community resources, TRICARE East, BUMED/DHA, Navy VA Hospitals, and Managed Care Support Contractor case managers.
Maintain liaison with appropriate FHCC staff, community agencies, and organizations, and serve as a resource to physicians, nurses, and other professional personnel at referral facilities.
Pursue professional growth, acquire knowledge and experience to meet professional goals, and participate in professional organizations.
Conduct case management training for professional and paraprofessional personnel within the department and command, and provide staff education as appropriate.
Implement case management support tools, such as patient identification and assessment tools, clinical practice guidelines, and case management software; develop a database of local community resources.
Intervene when variances occur in an individualized treatment plan and coordinate and evaluate patient and family use of resources and services.
Follow cost-containment and cost-avoidance strategies and develop mechanisms to measure cost effectiveness.
Coordinate access to appropriate community programs and resources.
Participate in Performance Evaluation and Improvement activities by evaluating patient care systems, including standards, protocols, and documentation, for efficiency, safety, and quality; incorporate evaluation data into ongoing case management.
Provide patient and family instruction based on identified learning needs; assess the family’s knowledge, health-status expectations, and potential to act as the primary caregiver.
Help develop activities and methods to ensure information is communicated and disseminated to staff.
Promote communication among healthcare team members, patients, families, and significant others; participate in frequent team meetings; and integrate multidisciplinary recommendations into a single plan of care.
Arrange appointments, provide advice by telephone when needed, refer patients to other medical treatment facilities or clinics, and continually triage patients so the most seriously ill are seen promptly, regardless of appointment schedules.