The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. Essential Duties and Responsibilities:
Performs and coordinates the initial assessments and ongoing reassessments of the patient’s status
Documents patient case information within a database system
Performs chart review/audits monthly or as needed
Participates in monthly case conferences by providing information pertinent to patient’s needs/goals
Partners with the Program Director in development and review of the patient’s individualized coordination of care plan
Ensures that the patients’ medical needs are addressed; consults with the patients’ physicians as needed, coordinating plans of treatment, and advocating for the patient when necessary
Promotes understanding of the medical factors affecting the targeted population
Identifies and assists patient(s) in accessing entitlements, resources, information, and referrals for psychosocial needs
Participates in Quality Assurance and Utilization Review activities, as directed
Empowers patients in decision-making for care planning
Maintains accurate and timely patient information, which is readily accessible for review and meets all requirements; assists in data collection for reporting/funding sources
Fosters intra-facility and inter-facility working relationships to help accomplish goals; acts as a liaison between primary care providers, specialist, and/or patient
Advocates on behalf of patient regarding accessibility of services
Follows State/County mandated guidelines for the nurse case management programs
Participates in outreach activities to the entire target population, as directed
Recommends program/service changes to meet gaps in service in the community
Performs other duties as assigned/necessary
Minimum Requirements:
Current RN licensure in state practicing
At least one year of Case Management experience preferred
Complies with all relevant professional standards of practice
Participation and completion of Amergis' Competency program when applicable
Current CPR if applicable
TB questionnaire, PPD or chest x-ray if applicable
Current Health certificate (per contract or state regulation)
Must meet all federal, state and local requirements
Successful completion of new hire training as applicable to job site
Understand patient confidentiality and HIPAA requirements
Ability to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong communication skills; proficiency in the English language is required
Computer proficiency required
Must be at least 18 years of age
Benefits
At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:
Competitive pay & weekly paychecks
Health, dental, vision, and life insurance
401(k) savings plan
Awards and recognition programs
Benefit eligibility is dependent on employment status.
About Amergis
Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions. Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
