Concentric Methods is seeking an experienced Registered Nurse Case Manager to join our team. This position is contingent upon contract award.
The Registered Nurse Case Manager will provide effective and efficient medical care while managing the costs of treatment. They will also act as a liaison between patients, their families, doctors and healthcare providers.
Essential Functions and Responsibilities
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 patient assessment, clinical practice guidelines, algorithms, CM software, and databases for community resources
Integrate CM and utilization management (UM) and integrating 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 toward the goal of optimal wellness
Establish mechanisms to ensure proper implementation of patient treatment plan and follow-up post discharge in ambulatory and community health care settings
Provide appropriate health care instruction to patient and/or caregivers based on identified learning needs
Other duties as assigned