Registered Nurse - Case Manager
Company: Provizor Federal
Location: Yuma
Posted on: January 23, 2023
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Job Description:
Are you an experienced RN Case Manager with either a
certification or five (5) years of experience in case management
living near Yuma AZ? APPLY NOW!Provizor Federal offers GREAT Perks
and incentives; we are constantly adding to the list!We put our
PEOPLE first!Provizor Federal is a recognized leader in providing
medical staffing and management services. Provizor Federal is
always looking for dedicated individuals who share our values:
flexibility, dependability, and quality patient care. When you
choose Provizor Federal as your employer, you can be confident that
you are working with an organization that values you as an
individual, understands your dreams and aspirations, and wants to
help you make your career goals real. Come partner with
us!Requirements Possess a minimum experience of at least five years
as an RNCM within the past seven years. Possess a Master's Degree
in Nurse Case Management from a program accredited by the American
Nurses Credentialing Center (ANCC).OR Possess and maintain a
current certification from one of the following accredited
organizations:Commission for Case Manager Certification; Certified
Case Manager (CCM); Certification of Disability Management
Specialists Commission: Certified Disability Management Specialist
(CDMS) ; Association of Rehabilitation Nurses: Certified
Rehabilitation Registered Nurse (CRRN)American Board for
Occupational Health Nurses; Certified Occupational Health Nurse
(COHN)National Board for Certification in Continuity of Care:
Advanced Certification in Continuity of Care (ACCC) ; Commission on
Rehabilitation Counselor Certification: Certified Rehabilitation
Counselor (CRC); American Nurses Credentialing Center; Nurse Case
Manager (RN-NCM)National Academy of Certified Care Managers: Care
Manager Certified (CMC) BLS certification (required)Duties:RN CM
(Weed Army)Utilize available automated programs and information
technology, communication, and management tools for proactive
patient management and to facilitate patient engagement and enhance
the patient experience (i.e., AHLTA, TSWF, CHCS, CarePoint, and
Secure Messaging).Participate in all phases of the Case Management
Program (CMP) and ensure that the CMP meets established case
management (CM) standards of care. Coordinating a multidisciplinary
team to meet specified patients' healthcare needs, including
medical and/or psychosocial management.Serve as consultant to all
disciplines regarding CM issues. 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 policies and protocols for home health
assessments and outcome measures.Develop and implement tools to
support case management, such as those used for patient
identification and patient assessment, clinical practice
guidelines, algorithms, CM software, databases for community
resources, etc.Integrate CM and utilization management (UM) and
integrate nursing case management with social work case management.
Prepare routine reports and conduct analyses.Assist in establishing
and maintaining liaison with appropriate community agencies and
organizations, the TRICARE Lead Agent office, and the Managed Care
Support Contractor.Maintain adherence to JCAHO, URAC, CMSA and
other regulatory requirements. Apply medical care criteria (e.g.,
InterQual).Ensure accurate patient care data collection and input
and basic CM budgetary management.Provide input on MTF CM resources
and recommend to the Command how those resources can best be
utilized.Collaborate with multidisciplinary team members to set
patient-specific goals. Develop treatment plans, including
preventive, therapeutic, rehabilitative, psychosocial, and clinical
interventions, to ensure continuity of care toward optimal
wellness.Establish and implement mechanisms to ensure proper
implementation of the patient treatment plan and follow-up
post-discharge in ambulatory and community health care
settings.Provide nursing advice and consultation in person and via
telephone.Ensure appropriate health care instruction to patients
and/or caregivers based on identified learning needs.Alert
physicians to significant changes or abnormalities in patients and
provide information concerning their relevant condition, medical
history, and specialized treatment plan or protocol.Facilitate
multidisciplinary discharge planning and other professional staff
meetings as indicated for complex patient cases and develop a
database and knowledge of local community resources.Develop and
implement mechanisms to evaluate the patient, family, and provider
satisfaction and use of resources and services in a
quality-conscious, cost-effective manner.Implement strategies to
ensure a 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.Plan for
professional growth and development as related to the case manager
position and maintenance of CM certification.Establish cost
containment/cost avoidance strategies for case management and
develop mechanisms to measure its cost effectiveness.Assist with
the CHCS/AHLTA CM interface or other databases that support
CM.Participate in video teleconferences (VTCs) and other meetings
as required._ Provizor Federal, Inc. is an Equal Opportunity
Employer. _Job Type: Full-timeBenefits: 401(k) Dental insurance
Health insurance Paid time off Vision insuranceSchedule: Monday to
FridayWork setting: OutpatientAbility to commute/relocate: Yuma,
AZ: Reliably commute or planning to relocate before starting work
(Required)Experience: Nursing: 1 year (Required) Case management: 1
year (Required)License/Certification: RN (Required)Work Location:
One location
Keywords: Provizor Federal, Yuma , Registered Nurse - Case Manager, Executive , Yuma, Arizona
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