Registered Nurse - Case Manager w/BONUS - 5151

Vantage Search Group•Havelock, NC

27d•$31 - $45•Onsite

About The Position

We have a new opening for a Registered Nurse - Case Manager at Naval Health Clinic Cherry Point in Havelock, NC. Core Duties: • 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. Additional Duties assigned: • Participate in a multidisciplinary team to meet the health care needs, including medical and/or psychosocial management, of specified patients. • Maintain adherence to the Joint Commission, URAC, CMSA, DHA and other regulatory requirements. Apply medical care criteria (e.g., InterQual). • Establish cost containment/cost avoidance strategies for case management and develop mechanisms to measure its cost effectiveness. • Collaborate with the multidisciplinary team members to set patient-specific goals. Develop treatment plans including preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to ensure continuity of care toward the goal of optimal wellness. • Alert physicians to significant changes or abnormalities in patients and provide information concerning their relevant condition, medical history and specialized treatment plan or protocol. • Implement strategies to ensure smooth transition and continued health care treatment for patients when the military member transfers out of the area. Develop a policy for, and assist with, region-to-region transfers. • Facilitate screening and assist with transfers of Exceptional Family Member Program (EFMP) families. • Participate in video teleconferences (VTCs) and other meetings as required. • Provide guidance of the patients’ health care needs to include medical and or psychosocial management of specified patients, monitor active-duty inpatient admissions and report the required per facility policy. The RNCM will be responsible for reporting chronic “No Show” of patients, per facility policy. In addition, the RNCM will monitor active-duty inpatient admissions and report the required data per facility policy.

Requirements

Degree: Possess an Associates or Bachelors degree in Nursing from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE). The applicant may also be a graduate from a State Board of Nursing or accredited nursing program.
Experience: A minimum of 1 year of full-time experience as a RN Case Manager within the past 24 months.
Certification: Possess one of the following certifications: > Commission for Case Manager Certification Certified Case Manager (CCM) > Certification of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS) > Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) > American Board for Occupational Health Nurses Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse-Specialist (COHN-S). > National Board for Certification in Continuity of Care: Advanced Certification in Continuity of Care (ACCC) > Commission on Rehabilitation Counselor Certification: Certified Rehabilitation Counselor (CRC) > American Nurses Credentialing Center Nurse Case Manager (RN-NCM) > National Academy of Certified Care Managers: Care Manager Certified (CMC)
Licensure: Current, full, active and unrestricted license as a Registered Nurse
Life Support Certification: Possess a current AHA OR ARC BLS Healthcare Provider certification.
Security: Must possess ability to pass a Government background check/security clearance.

Responsibilities

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.
Participate in a multidisciplinary team to meet the health care needs, including medical and/or psychosocial management, of specified patients.
Maintain adherence to the Joint Commission, URAC, CMSA, DHA and other regulatory requirements.
Apply medical care criteria (e.g., InterQual).
Establish cost containment/cost avoidance strategies for case management and develop mechanisms to measure its cost effectiveness.
Collaborate with the multidisciplinary team members to set patient-specific goals.
Alert physicians to significant changes or abnormalities in patients and provide information concerning their relevant condition, medical history and specialized treatment plan or protocol.
Implement strategies to ensure smooth transition and continued health care treatment for patients when the military member transfers out of the area.
Develop a policy for, and assist with, region-to-region transfers.
Facilitate screening and assist with transfers of Exceptional Family Member Program (EFMP) families.
Participate in video teleconferences (VTCs) and other meetings as required.
Provide guidance of the patients’ health care needs to include medical and or psychosocial management of specified patients, monitor active-duty inpatient admissions and report the required per facility policy.
The RNCM will be responsible for reporting chronic “No Show” of patients, per facility policy.
monitor active-duty inpatient admissions and report the required data per facility policy.