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Please find below a revised version of the original text: Job Specific Responsibilities and Tasks: Duties may include, but are not limited to:
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 assessment, clinical practice guidelines, algorithms, CM software, and databases for community resources
Integrate CM and utilization management (UM), and integrate 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 towards the goal of optimal wellness
Establish mechanisms to ensure proper implementation of patient treatment plan and follow-up post discharge in ambulatory and community healthcare settings. Provide appropriate healthcare instruction to patients and/or caregivers based on identified learning needs
Additional Duties:
Utilize available automated programs and information technology, communication, and management tools for proactive patient management and to facilitate patient engagement and enhance patient experience (i.e., MHS Genesis, TSWF, CarePoint and Patient Portal Secure Messaging)
Communicate with patients utilizing asynchronous Secure Messaging (i.e., MHS Genesis Patient Portal) to improve communication and facilitate care through non-traditional means
Assist in coordinating a multidisciplinary team to meet the healthcare needs, including medical and/or psychosocial management, of specified patients. 5.1.6.2. Serve as a consultant to all disciplines regarding CM issues
Develop and implement policies and protocols for home health assessments and outcome measures
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 collection and input of patient care data and ensure basic CM budgetary management
Provide input on MTF CM resources and make recommendations to the Command as to how those resources can best be utilized
Collaborate with the multidisciplinary team members to set patient-specific goals
Establish and implement mechanisms to ensure proper implementation of patient treatment plan and follow-up post-discharge in ambulatory and community healthcare settings
Provide nursing advice and consultation in person and via telephone
Ensure appropriate healthcare 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 smooth transition and continued healthcare 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
Minimum Qualifications:
Degree: Possess a Bachelor's degree in Nursing from an accredited university. You can also possess a Master's Degree in Nurse Case Management from a program accredited by the American Nurses Credentialing Center (ANCC) with one of the certifications mentioned below
Education: Graduate from a college or university accredited by the National League for Nursing Accrediting Commission (NLNAC) or The Commission on Collegiate Nursing Education (CCNE)
Experience: Possess a minimum of 5 years of experience as an RNCM within the past 7 years
Certification: Possess and maintain a current certification from one of the accredited organizations mentioned below: (CCM), (CDMS), (CRRN), (COHN), (ACCC), (CRC), (RN-NCM), (CMC). Alternatively, you can possess a Master's Degree in Nurse Case Management from a program accredited by the American Nurses Credentialing Center (ANCC)
Licensure: You must have a current, full, active and unrestricted license as a Registered Nurse
Security: You must possess the ability to pass a Government background check/security clearance
Life Support Certification: You must possess a current AHA or ARC BLS Healthcare Provider certification
BenefitsThe compensation package includes outstanding benefits, such as paid vacation, sick time, and 11 federal holidays. We offer medical, dental, and vision insurance, as well as short-term and long-term disability coverage, life insurance, and a health savings account. Other benefits include an annual CME stipend and license/certification reimbursem*nt, and a matching 401K.
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Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Health Care Provider
Industries
Internet Publishing
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