Overview

The Nurse Case Manager is a Registered Nurse responsible for providing patient case management services to assigned populations. Utilizes a collaborative interdisciplinary approach to anticipate, integrate, and coordinate the patient's plan of care, discharge plan, and re-entry into the community. The goal of the intervention is to meet the needs of patients in order to optimize clinical and resource outcomes, and to monitor the effectiveness of the plan and its outcomes. In collaboration with the social worker, the nurse case manager identifies at risk patient populations who require patient case management services. Provides bio-psychosocial assessments to identify patient needs and to assist in the development of the plan of care. The Nurse Case Manager serves as a patient/family advocate and acts as a communication link between the physician, patient, family, health care team, community resources, and payers to reduce redundancy and fragmentation of care. Anticipates potential delays in the health care process and acts proactively to avoid these delays. The Nurse Case Manager ensures that necessary services are provided at the most appropriate level of care and that there is a smooth progression of the patient throughout the health care system and into the community.
Licensure

Registered Nurse Required - And Certified Case Manager Or Commission for Case Management Certification Preferred
Education

Graduate Nursing Required - And Bachelor's Degree Required - And Bachelor's Degree Nursing Preferred
Experience

3 Years Nursing - Related Area Required - And 5 Years Nursing - Related Area Preferred - And Direct Position Experience In Clinical - Case Management Or Clinical - Discharge Planning Or Accounting/Finance - Third Party Review Or Clinical - Utilization Management Preferred

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