Registered Nurse - Case Manager

**Core Responsibilities

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• Engage comprehensively in all components of the Case Management Program (CMP) to ensure compliance with established case management (CM) standards of care.
• Leverage nursing expertise throughout the CM process, involving assessment, planning, implementation, coordination, and monitoring. Identify and capitalize on opportunities to enhance CM efficacy and integrate local CM methodologies.
• Design and execute localized strategies encompassing inpatient, outpatient, onsite, and telephonic case management.
• Create and implement tools that underpin case management functions, including instruments for patient identification and assessment, adherence to clinical practice guidelines, algorithms, CM software, and community resource databases.
• Facilitate the integration of case management with utilization management (UM) and harmonize nursing case management with social work case management.
• Maintain productive relationships with relevant community agencies and organizations.
• Collect and document patient care data meticulously to ensure accuracy and compliance.
• Formulate comprehensive treatment plans that encompass preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to promote continuity of care aimed at achieving optimal wellness.
• Establish robust mechanisms to guarantee effective execution of patient treatment plans and ensure adequate follow-up post-discharge in both ambulatory and community healthcare contexts.
• Deliver tailored health care education to patients and/or caregivers based on assessed learning needs.

**Work Schedule

**Minimum Qualifications: **

- **Degree

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• At minimum, an Associate Degree in Nursing. -

**Education

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• Graduates from programs accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE) are preferred. Alternatively, graduates from a State Board of Nursing or other accredited nursing programs may qualify. -

**Certifications

**Experience

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• Minimum of one year of post-graduation nursing experience. -

**Licensure

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• A current, full, active, and unrestricted Registered Nurse license from any state. -

**Certification

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• Current Basic Life Support (BLS) Healthcare Provider certification from AHA or ARC. - **Security:*
• Must be able to successfully pass a government background check/security clearance.