- Adhere to the scope of practice per Colorado regulatory guidelines. Promote the level of clinical expertise required to provide safe, high quality outpatient case management nursing.
- Assists all patients through the healthcare system by acting as a patient advocate and navigator.
- Coordinates continuity of patient care with external healthcare organizations and facilities, including the process of hospital admission and discharge, and referrals from the primary care provider to a specialty care provider.
- Coordinates the continuity of patient care with patients and families following hospital admission, discharge, and ER visits.
- Manages high risk patient care, including management of patients with multiple co-morbidities or high risk for readmission to a hospital setting, including registry.
- Supports patient self-management of disease and behavior modification interventions.
- Provide triage to patients navigating the health care system following nursing guidelines, protocols, and physician direction.
- Collect, prioritize, and synthesize comprehensive data pertinent to the patient health or situation to evaluate, classify, advise and disposition of the patient requests.
- Collaborate with patient, family, and others in the conduct of nursing practice.
- Incorporate factors related to safety, effectiveness, cost, and impact on practice in planning and delivering patient care in regards to resource utilization.
- Conducts comprehensive preventive screenings for patients and/or assists all support staff in daily patient interactions, as needed.
- Facilitates health and disease patient education, including leading group office visits/classes.
- Promotes clear communication amongst a care team and treating clinicians by ensuring awareness regarding patient care plans.
- Participates in Patient-Centered Medical Home team meetings and quality improvement initiatives.
- Facilitates patient medication management based upon standing orders and protocols.
- Participates on a team for data collection, health outcomes reporting, clinical audits, and programmatic evaluation related to the Patient-Centered Medical Home and Medical Neighborhood initiatives
- Evaluates clinical care, utilization of resources, and development of new clinical tools, forms and procedures and works with the Patient-Centered Medical Home team (including Clinic Medical Director and Clinic Administrator) to implement these changes and updates.
- Bachelor's Degree in Nursing
- at least two (2) years of related experience in chronic disease management, case management and/or utilization management, pediatric experience preferred.
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Orthopedic Case Manager - Grand Junction, United States - HexaQuEST Global - Healthcare
Description
Status: Full-Time
Location: Western Orthopedics and Spine
ESSENTIAL DUTIES AND RESPONSIBILITIES:
EDUCATION and/or EXPERIENCE:
