Job Description

Job Specific Responsibilities and Tasks: Duties may include but are not limited to :

  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 .

• Utilize available automated programs and information technology, communication, and management tools for proactive patient management and to facilitate patient engagement and enhance patient experience (i.e., MHS Genesis, TSWF, CarePoint and Patient Portal Secure Messaging).
• Communicate with patients utilizing asynchronous Secure Messaging (i.e., MHS Genesis Patient Portal) to improve communication and facilitate care through non- traditional means.
  Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case management (CM) standards of care. Assist in coordinating a multidisciplinary team to meet the health care needs, including medical and/or psychosocial management, of specified patients. 5.1.6.2. Serve as consultant to all disciplines regarding CM issues. 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 policies and protocols for home health assessments and outcome measures.
• Develop and implement tools to support case management, such as those used for patient identification and patient assessment, clinical practice guidelines, algorithms, CM software, databases for community resources, etc.
• Integrate CM and utilization management (UM) and integrate nursing case management with social work case management. Prepare routine reports and conduct analyses.
• Assist in establishing and maintaining liaison with appropriate community agencies and organizations, the TRICARE Lead Agent office, and the Managed Care Support Contractor.
• Maintain adherence to JCAHO, URAC, CMSA and other regulatory requirements. Apply medical care criteria (e.g., Inter Qual).
• Ensure accurate collection and input of patient care data and ensure basic CM budgetary management.
• Provide input on MTF CM resources and make recommendations to the Command as to how those resources can best be utilized.
• 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.
• Establish and implement mechanisms to ensure proper implementation of patient treatment plan and follow-up post discharge in ambulatory and community health care settings.
• Provide nursing advice and consultation in person and via telephone.
• Ensure appropriate health care instruction to patient and/or caregivers based on identified learning needs.
• Alert physicians to significant changes or abnormalities in patients and provide information concerning their relevant condition, medical history and specialized treatment plan or protocol.
• Facilitate multidisciplinary discharge planning and other professional staff meetings as indicated for complex patient cases and develop a database and knowledge of local community resources.
• Develop and implement mechanisms to evaluate the patient, family and provider satisfaction and use of resources and services in a quality-conscious, cost- effective manner.
• 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.
• Plan for professional growth and development as related to the case manager position and maintenance of CM certification.
• Establish cost containment/cost avoidance strategies for case management and develop mechanisms to measure its cost effectiveness.
• Assist with the CM interface or other database designed to support CM.
• Participate in video teleconferences (VTCs) and other meetings as required.

Schedule:

Monday - Friday 8 hour shift between 6:00am - 6:00pm

No Weekends!

No Holidays! 

Requirements

Minimum Qualifications :

Degree: Possess a Bachelor’s degree of Nursing from an accredited university. With one of the certifications below OR Possess a Master’s Degree in Nurse Case Management from a program accredited by the American Nurses Credentialing Center (ANCC).

Education: Graduate from a college or university accredited by National League for Nursing Accrediting Commission (NLNAC), or The Commission on Collegiate Nursing Education (CCNE).

Experience: Possess a minimum experience of at least 5 years as an RNCM within the past 7 years.

Certification : Possess and maintain a current certification from one of the following accredited organizations: (CCM), (CDMS), (CRRN),(COHN), (ACCC), (CRC), (RN-NCM),(CMC) OR Possess a Master’s Degree in Nurse Case Management from a program accredited by the American Nurses Credentialing Center (ANCC).

Licensure: Current, full, active and unrestricted license as a Registered Nurse 

Security : Must possess ability to pass a Government background check/security clearance.

Life Support Certification: Possess a current AHA OR ARC BLS Healthcare Provider certification.

We are an equal opportunity employer and a drug free workplace. All applicants selected for employment are required to submit to a background check and pre-employment drug test. 

Benefits

Excellent Compensation & Exceptional Comprehensive Benefits:

• Paid Vacation, Paid Sick Time, Plus 11 Paid Federal Holidays

• Medical/Dental/Vision, STD/LTD/Life, Health Savings Account available, and more
• Annual CME Stipend and License/Certification Reimbursement
• Matching 401K

Base salary: $40.00 - $72.00/hr depending on experience

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