Job Description:

Case ManagementUtilization Management Division at Naval Hospital 29 Palms .Registered Nurse (RN) Case Manager to provide care to family members of Active Duty heroes in the Wounded, Ill, and Injured Warriors (WII) under the Psychological Health Transition to Care Initiative40 hrswk, Mon - FriDUTIES OF THE REGISTERED NURSE CASE MANAGER (RN):Provide nursing expertise about the Case Management process, including assessment, planning, implementation, coordination, and monitoringIntegrate case management (CM) with utilization management (UM) and disease management as needed. Integrate nursing case management with social work case managementDevelop and implement local strategies using inpatient, outpatient, onsite and telephonic CMDevelop 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 resourcesMaintain liaison with appropriate community agencies and organizationsProvide input on hospital CM resources and make recommendations to the Command as to how those resources can best be utilizedWork in conjunction with the entire healthcare team and other departments, to identify high-risk andor high-utilizer populations including but not limited to those beneficiaries with multiple providers, multiple admissionsreadmissions, Emergency Department visits, catastrophic illness, chronic or terminal illness, and multiple medical problemsdual diagnosesCollaborate with other members of the healthcare team, the patient and familysupport system on a regular basis to establish and update the case management plan of care using evidenced-based guidelines (when available andor applicable)Identify measurable short-and long-term goalsoutcomes of care with matching strategies to achieve optimal wellness and autonomy (self-management). Incorporate the patient's cultural background, values and beliefs, readiness to learn and healthcare needs across the continuum of care into the planProvide the patient family with the knowledge and skills necessary for the implementation of the established plan. Facilitate patient and family decision-making activities by keeping them well informed of their rights, responsibilities and options. When indicated, follow patients through hospitalization and follows up in ambulatory and community health care settingsActively measure the patient s response to the evidence-based plan of care and provide documentation that the plan and the quality of the services offered to the patient correspond to the identified needsFacilitate multidisciplinary discharge planning and other professional staff meetings as indicated for complex patient cases and develop a database and knowledge of local community resourcesDevelop and implement mechanisms to evaluate the patient, family and provider satisfaction and use of resources and services in a quality-conscious, cost-effective mannerCollaborate 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 the goal of optimal wellnessClose cases when goals are met, patient declines service, the patient transitions to another case manager or patient needs are no longer identifiedFacilitate and coordinate strategies to ensure 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. This shall include coordination of required tests, procedures, treatments, discharge planning, community referrals, and transfersFacilitate screening and assist with transfers of Exceptional Family Member Program (EFMP) families and service members going through the Integrated Disability and Evaluation System (IDES)Keep informed of research and new information that will ensure new methods and practices are incorporated into the case management programFacilitate command cost containment through proper utilization of available resources and timely assessment of patient response to the case management programPerform clinical assessments of the patients and managed care records that include clinical input from various health care providers across all clinical areasPerform follow-up clinical assessments to ensure the effectiveness of treatment plans in placeAccurately collect and document patient care dataOperate and manipulate automated systems such as CHCS, AHLTA, ADS, Essentris, and Clinical Information System (CIS)Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case management (CM) standards of careMaintain adherence to Joint Commission, URAC, Case Management Society of America (CMSA), and other regulatory requirements. Apply medical care criteria (e.G., InterQual)QUALIFICATIONS OF THE REGISTERED NURSE CASE MANAGER (RN):Degree: Associate's Degree in NursingEducation: Graduate from a college or university accredited by the Accreditation Commission for Education in Nursing (ACEN), or The Commission on Collegiate Nursing Education (CCNE)Current, full, active, and unrestricted license to practice as a Registered Nurse Possess and maintain BLS from AHA or ARCMust be a U.S. Citizen (for access to Gov' t computer systems)Possess two years of case management experience within the last three yearsCertification: Possess a minimum of 2 years full-time experience within the last 3 years as a registered nurse providing case management and obtain one of the eight certifications below, within six months of hireCommission 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) or Certified Occupational Health Nurse-Specialist (COHN-S)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)CompensationBenefitsCompetitive Hourly Pay17 days paid PTOpaid Sick11 paid Federal HolidaysMDPerm is an Equal Opportunity Employer. MDPerm does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.Powered by JazzHR5KoJj4TuH0