Registered Nurse - Case Manager

Company: Provizor Federal
Location: Yuma
Posted on: January 23, 2023

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