Nurse Case Manager - Bonaire, United States - Potomac Healthcare Solutions

Description

Registered Nurse – Mental Health Case Manager

Moody AFB, GA

Position Duties and Responsibilities:

• Must have the knowledge and skills to effectively apply the following core case management functions: a) Assessment: Identification of patients for case management; comprehensive collection of patient information and medical status; and continued evaluation of an established plan of care; b) Planning: Collaboration with the patient, family/caregiver, primary provider and other members of the health care team for developing an effective plan of care; c) Facilitation: Care coordination and communication among all involved parties; d) Advocacy: Support for the patient and family/caregivers to ensure identified education and appropriate, timely care is received.
• Must be knowledgeable in medical privacy and confidentiality (Health Insurance Portability and Accountability Act [HIPAA]); accreditation standards of Accreditation Association for Ambulatory Health Care (AAAHC) and The Joint Commission (TJC); and computer applications/software to include Microsoft Office programs, MS Outlook (e-mail), and internet familiarity is required.
• Must be skillful and tactful in communicating with people who may be physically or mentally ill, uncooperative, fearful, emotionally distraught, and occasionally dangerous.
• Must possess organization, problem-solving and communication skills to articulate medical requirements to patients, families/care givers, medical and non-medical staff in a professional and courteous way. Assists with Patient Check-ins, admissions, discharges and transfers as directed.
• Assessment. Proactively identifies and evaluates patients and families for case management from a variety of sources such as discharge/disposition planning, referrals, the Medical Evaluation Board (MEB) process, the healthcare system, employers, and facility staff. Conducts systematic, on-going, thorough collection of patient's physical, emotional, psychological, social, and medical status and information via direct patient contact and other relevant sources such as professional and non-professional caregivers, medical records, family/caregiver interviews.
• Planning. Develops an appropriate patient-specific plan of care to include short- and long-term goals, objectives, and actions. Coordinates, collaborates, and obtains approval of the plan among the patient, family/caregiver, primary provider, and other members of the healthcare team.
• Implementation: Guides the patient and family/care giver through the healthcare system, maximizing use of resources. Coordinates and executes the plan of care, optimizing access to appropriate services. Ensures necessary referrals are ordered by the appropriate discipline and coordinated. Serves as an advocate for, and ensures education is provided to, the patient and family/caregiver as required. Promotes adherence to treatment plans for improved healthcare outcomes.
• Coordination: 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.
• Monitoring: Documents and updates the treatment plan as needed in accordance with existing DoD, AF, local facility, and other agency guidelines. Maintains documentation and data collection in accordance with DoD, AF, local facility, and other specified agency guidelines. Conducts and/or participates in program evaluation as directed.
• Evaluation: Monitoring and evaluation may include but is not limited to: patient's adherence and response to the treatment plan; timeliness of patient and family/caregiver contact and follow-up; identification of variances, patterns, or trends from established practice guidelines and/or standards; established outcome measurements; results of interventions, treatment delivery and timeliness of care; and utilization of resources. Monitors and evaluates the facility's case management program per DoD, AF and local policies and guidelines. Coordinates and participates in interdisciplinary team meetings, designated facility meetings, and Care Coordination meetings. Shares knowledge and experiences gained from own clinical nursing practice and education relevant to nursing and case management.
• Participates in the orientation and training of other staff. May serve on committees, work groups, and task forces at the facility.
• Must maintain a level of productivity and quality consistent with: complexity of the assignment; facility policies and guidelines; established principles, ethics, and standards of practice of professional nursing; the Case Management Society of America (CMSA); American Accreditation Healthcare Commission/Utilization Review Accreditation Commission (URAC); CAMH; Health Services Inspection (HSI); and other applicable DoD and Service specific guidance and policies. Must also comply with the Equal Employment Opportunity (EEO) Program, infection control and safety policies and procedures.
• Follows applicable local MTF/AF/DHA/DoD instructions, policies, and guidelines.
• Completes medical record documentation and coding, and designated tracking logs and data reporting as required by local MTF/AF/DHA/DoD instructions, policies, and guidance.
• Completes all required electronic medical record training, MTF-specific orientation and training programs, and AF/DHA/DoD mandated Case Management training.

Minimum Qualifications:

• Graduate from a baccalaureate degree (BSN) program in nursing accredited by a national nursing accrediting agency recognized by the US Department of Education.
• Possess one of the following certifications: Commission 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).
• Minimum of 2 years of full-time experience in clinical case management working with adults, children, families, seniors, and groups. Nurse must have 2 years in the last 5 years Medical/Surgical experience in Case Management.
• Must have American Red Cross BLS for Healthcare Providers or American Heart Association Basic Life Support (BLS) for Healthcare Providers or American Heart Association Healthcare Provider Course.
• Current, full, active, and unrestricted license to practice as a Registered Nurse as required in the
• Must be a US Citizen.

Potomac Healthcare Solutions offers the following benefits:

• Medical, Dental and Vision Insurance
• Health Savings Account
• Employer Paid - Basic Life, Accidental Death & Dismemberment and Short-Term Disability
• Long Term Disability
• 401(k) Retirement Savings Plan
• Paid Time Off
• 11 Federal Holidays
• Continuing Education
• Employee Assistance Program
• Wellness Incentives and More

About Potomac Healthcare Solutions:
Potomac Healthcare Solutions is an award-winning, dynamic, and rapidly growing healthcare services company with a proven background in providing world-class health services for both government and commercial organizations. We are actively recruiting skilled, caring practitioners to support our rapidly growing program base and supported healthcare facilities. If you would like to be a part of a quality-driven organization and make a difference, we would like to talk to you

If you do not find interest in this opportunity but know of someone who may, we kindly ask that you refer the individual to Potomac Healthcare Solutions by forwarding this job posting.

We especially welcome employment interest of US Military Veterans with honorable service.

Potomac Healthcare Solutions, LLC is an Equal Opportunity Employer Veterans/Disabled.

***This position is contingent upon contract award.