Registered Nurse - Case Manager

**Core Responsibilities

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• Engage comprehensively across all dimensions of the Case Management Program (CMP), ensuring adherence to established standards for case management (CM) care protocols.
• Provide specialized nursing insights throughout the CM process, encompassing assessment, planning, implementation, coordination, and ongoing evaluation. Proactively identify opportunities for CM integration and adaptability within local process frameworks.
• Design and execute targeted strategies for case management across diverse modalities, including inpatient, outpatient, onsite, and telephonic settings.
• Develop and implement supportive tools for case management operations, such as patient identification and assessment instruments, clinical practice guidelines, algorithms, case management software solutions, and community resource databases.
• Facilitate the convergence of CM with utilization management (UM), effectively integrating nursing case management and social work case management processes.
• Maintain collaborative relationships with relevant community agencies and organizations to enhance resource accessibility and patient care.
• Ensure accurate collection and documentation of patient care data to support quality outcomes.
• Formulate comprehensive treatment plans that encompass preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions, ensuring continuity of care aimed at achieving optimal patient wellness.
• Establish and monitor mechanisms for the effective implementation of patient treatment plans, with a focus on follow-up care in ambulatory and community healthcare settings post-discharge.
• Deliver tailored healthcare education to patients and/or caregivers, addressing specific learning needs identified during assessments.

**Work Schedule

**Minimum Qualifications: **

- **Degree

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• At least an Associate’s Degree in Nursing.

- **Education

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• Must be a graduate from a nursing program accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE). Alternatively, a graduate of a State Board of Nursing or an accredited nursing program may be considered.

- **Certification

- **Experience

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• Minimum one year of nursing experience post-graduation.

- **Licensure

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• Must possess an active, unrestricted license to practice as a Registered Nurse in any state.

- **Certification

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• Current Basic Life Support (BLS) Healthcare Provider certification from AHA or ARC.

- **Security Clearance

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• Must be able to successfully pass a government background check/security clearance.