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The Nurse Case Manager serves TCRHCC and Echo Cliffs Health Center as an outpatient/inpatient case manager and supportive contact for identified groups of high-risk patients, with particular attention to specialty clinics requiring case management. The role addresses patients’ essential health and social needs while supporting quality, cost-effective care. It facilitates transitions from admission through discharge, promotes continuity and alignment of services, and arranges post-hospital referrals. The case manager also advises nursing, physicians, and ancillary departments on transitional and regulatory matters. The position involves working with culturally diverse patients who may face barriers to self-sufficiency, including illiteracy, welfare dependency, domestic violence, substance abuse, and mental health issues. Responsibilities include assessing needs, planning services, acquiring resources, monitoring progress, and responding to emerging needs. The case manager collaborates with an interdisciplinary team to review care plans, monitor progress, and recommend measures that support safe and efficient hospitalizations. Duties also include evaluating emergency department patients for medical necessity and care coordination, assessing potential admissions and appropriate admission status with clinicians, and proposing outpatient discharge plans with physician approval. The role coordinates care for patients with abuse, chronic pain, and frequent utilization issues, and serves patients from newborn through geriatric ages. The role also helps individuals with mental health issues access and navigate resources that support their well-being.
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Job Type
Full-time
Education Level
Associate degree

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