Registered Nurse - Case Manager

Registered Nurse
- Case Manager

We have an urgent need 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., Inter Qual).
• 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. In addition, the RNCM will monitor active-duty inpatient admissions and report the required data per facility policy.

Work Schedule:

Monday
- Friday, 8.5 hours between 7:00am and 5:30pm, including a one hour lunch

No weekends or holidays

No On-Call or Call-Back