Work Schedule:
Monday - Friday, 9 hours between 6:30am and 5:30pm, with a one hour lunch
No weekends or holidays
Job Specific Position Duties: The duties include, but are not limited to the following:
- 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.
- Participates in the orientation, education and training of other staff. Must serve on committees, work groups, and task forces as needed by the facility.
- Monitors and evaluates the facility’s case management program, peer review program per DoD, AF and local policies and guidelines.
- Ensures coordination of care delivery processes, to include alternate healthcare settings and the home environment, for the purposes of enhancing the patient's health and wellness, safety, productivity, and quality of life, and for providing the most beneficial, cost-effective health care. Develops, utilizes and maintains a variety of military and community resources to optimize access to services and medical care. Ensures timely and appropriate provision of services.
Minimum Qualifications:
* Education: Minimum ASN; BSN preferred* Experience: Desired 4 years nursing experience, 18 months of which must be in discharge planning or clinical case management
* Licensure: Current, full, active, and unrestricted RN license from any US State.
* Clinical Certification: Desired Case Management certification or ability and willingness to obtain within 12 months of hire
* Life Support Certification: Possess a current AHA or ARC BLS Healthcare Provider certification.
