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    Managed Care Specialist - Jackson, TN, United States - Rehab America Careers

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    Full time
    Description

    The Clinical Wound Specialist will serve as an expert clinician and consultant for wound prevention and in all aspects of wound management.

    This position will operate as an educator, a resource and as a partner in the delivery of expert care in collaboration with the interprofessional health care team consisting of physicians, nurse practitioners, nurses, therapists, and nurse aides.

    This position is responsible for evaluating and recommending changes in wound care products, supplies and equipment.

    Provide a high level of quality clinical care to residents/patients using current clinical practice guidelines with adherence to the standard of care.


    • Provide wound care education for advanced practice nurses in the initial training period and periodically thereafter in a classroom setting and/or at the bedside. Provide ongoing feedback to the trainee and their supervisor throughout the initial training period and periodically thereafter.
    • Perform bedside sharps and mechanical debridement when appropriate using the appropriate supplies and aseptic technique. Assist in identifying residents/patients at risk for skin integrity impairments and facilitates the creation of appropriate treatment plans.
    • Ensure the resident/patient is comfortable and has the appropriate analgesics administered prior to wound treatment, as necessary.
    • Work collaboratively with physicians, nurse practitioners, nurses, nurse aides, therapists and nursing leaders.
    • Contribute to facility performance improvement efforts regarding preventing and reducing acquired pressure injuries.
    • Develop and implement in-service for staff for identified improvement opportunities as appropriate.
    • Evaluate the effectiveness of products, supplies and equipment used for wound treatment and prevention and makes recommendations for change as needed.
    • Analyze data regarding acquired wound rates, wound healing rates; Assist in the development, monitoring and evaluation of protocols for wound care treatment and strategy.
    • Participate in the development of standards of care for the resident/patient population.
    • Partner with purchasing to make recommendations for products and supplies and facilitates implementation of the products, using best practice and financial data.
    • Communicate the appropriate information regarding the treatment plan to the resident/patient and their representatives in a timely manner.
    • Inform the resident/patient of the procedure prior to implementation.
    • Optimize the resident/patient wound care experience through appropriate communication and respect of the resident's/patient's individual rights.
    • Effectively communicate and build effective working relationships with physicians, advanced practice nurses, nursing leadership, nursing staff, and therapy staff.
    • Communicate with providers involved in transition of care upon admission or discharge from the facility when indicated.
    • Ensure facility leadership is aware of program implementation and scheduled visit dates and times.
    • Arrive at each facility at the scheduled time on scheduled days or ensures the alternative schedule is communicated.
    • In cooperation with nursing home administration and company policies, review and respond to any complaints and/or grievances and recommends or implements corrective action where appropriate.
    • Participate in responding to resident/family phone calls. Explain treatment regimens to residents/family when indicated.
    Sensitive to and maintain the privacy and dignity of the resident/patient while performing wound care.


    • possess superior organizational and time management skills, and an understanding of adult learning principles.
    • Demonstrate leadership in the professional community by participating in activities of professional organizations.
    • Demonstrate proficiency in use of computers and technology.
    • Demonstrate knowledge of standard office equipment (fax, photocopier) and personal computer and computer software skills (MS Windows, Microsoft Teams, Excel, Word, PowerPoint, internet, email, virtual conferencing).
    • Ability to effectively utilize telemedicine equipment to provide remote consultation as indicated.
    • Demonstrate the appropriate behavior, conduct and communication when representing American Health Partners inside and outside of facilities.
    • Adhere to federal and state regulations for long-term care facilities and the Joint Commission Nursing Care Center standards.
    • Maintain privacy and confidentiality of all resident records.
    • Abide by all rules, policies and procedures of American Health Partners.
    • Inform the appropriate facility or corporate leaders of unsafe practice, practice outside the scope of service for any provider, unethical conduct, adverse outcomes or near misses.
    • Ensure timely and accurate completion of medical records.
    • Adhere to appropriate coding practices as indicated.
    • Successful completion of required training
    • Current automobile insurance according to company policy

    Required Computer Software/Equipment used:

    • Standard office equipment
    • Microsoft Suite applications
    • Personal Protective Equipment (PPE)
    • Standard medical equipment
    o Bachelor's degree or higher (completed and verified prior to date of hire) from an accredited institution.
    Certified Wound and Ostomy Care Nursing (CWOCN), Certified Wound Care Nurse (CWCN) and/or Certified Wound Specialist (CWS).


    Audio-Visual:
    Hearing: Good


    • Work is typically performed in a standard office environment; Position may require flexible hours, unscheduled overtime or occasional week-end work
    • Extensive travel to facilities across the state of Tennessee and northern Alabama.
    • Overnight stays may be necessary.
    Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    We do not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws.

    This Organization will make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made.

    A key part of this policy is to provide equal employment opportunity regarding all terms and conditions of employment and in all aspects of a person's relationship with the Organization including recruitment, hiring, promotions, upgrading positions, conditions of employment, compensation, training, benefits, transfers, discipline, and termination of employment.

    Bachelors or better


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