Nurse Case Manager, Palliative & Oncology Care

In addition to the responsibilities listed below, this position is also responsible for providing case management services for palliative or oncology-care patients to ensure quality of care using an interdisciplinary approach; creating population-based reports on outcomes specific to palliative or oncology-care patients; acting as medical liaison between palliative or oncology-care patients, families, community resources, and medical staff/providers; making post disposition follow-up calls to all patients who are not referred to an ambulatory case/care management program with guidance;

and facilitating a smooth transfer to home or an alternate facility, and acting as a contact person for dispositions while resolving standard and non-standard issues.

• Pursues effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and members. Listens to, seeks, and addresses performance feedback; provides mentoring to team members. Pursues self-development; creates plans and takes action to capitalize on strengths and develop weaknesses; influences others through technical explanations and examples. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work;
  
  helps others adapt to new tasks and processes. Supports and responds to the needs of others to support a business outcome.
• Completes work assignments autonomously by applying up-to-date expertise in subject area to generate creative solutions; ensures all procedures and policies are followed; leverages an understanding of data and resources to support projects or initiatives. Collaborates cross-functionally to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports, identifies, and monitors priorities, deadlines, and expectations. Identifies, speaks up, and implements ways to address improvement opportunities for team.
• Drives services related to the initial case assessment by: interviewing patients and their families to evaluate needs, goals, and current services with minimal day-to-day supervision; determining initial eligibility, benefits, and education for all admissions independently; reviewing and entering authorization data (e.g., authorization data regarding admitting/principle diagnoses, bed type(s), and disposition data for accuracy, after visit summary) and identifying and documenting inaccuracies;
  
  recommending research plans that identify new and/or existing options to assure that quality, cost-efficient care is provided; and leveraging comprehensive knowledge to assess medical necessity for hospital admission and required level of care to inform physician.
• Provides services related to monitoring and evaluating plan of care by: coordinating resources and services to assure continuity and quality of care, and sharing professional knowledge with team members doing the same; reviewing and updating authorizations, attending case management rounds with clinicians, and reviewing diagnoses as needed; contacting patients periodically to assess progress toward treatment milestones and care plan goals independently;
  
  identifying barriers to achieving goals and ensuring that they are discussed with the patient and care team thoroughly independently; verifying that all services remain consistent with established guidelines and standards independently; and documenting/updating the patients case in all medical files independently.
• Drives services related to the case-planning process by: creating a client-focused case management plan with treatment goals based on the patients and familys/caregivers needs under limited direction; collaborating with health-care team, patient, and caregivers to assure plan of care is safe, agreeable, and appropriate with minimal guidance; and validating that the plan is consistent with regulatory, accreditation, and regional guidelines independently.
• Supports efforts to remain updated on current research, policies, and procedures by: attending seminars, workshops, and approved educational programs and workshops specific to professional needs; contributing to the implementation of systems, processes, and methods to maintain team knowledge of community resources; monitoring operational team data and key metrics applied to own work independently; making suggestions for change or improvement as needed independently;
  
  and ensuring adherence to policies to…