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Case Manager Ihh
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RN Case Manager - Worcester, United States - Amergis
Description
The RN Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ensuring optimumutilization of resources, service delivery, and compliance with medical regime.
Essential Duties and Responsibilities:
Performs and coordinates the initial assessments and ongoingreassessments 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 providinginformation pertinent to patient's needs/goals
Partners with the Program Director in development and reviewof 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 oftreatment, and advocating for the patient when necessary
Promotes understanding of the medical factors affecting thetargeted population
Identifies and assists patient(s) in accessing entitlements,resources, information, and referrals for psychosocial needs
Participates in Quality Assurance and Utilization Reviewactivities, as directed
Empowers patients in decision-making for care planning
Maintains accurate and timely patient information, which isreadily accessible for review and meets all requirements; assists in datacollection for reporting/funding sources
Fosters intra-facility and inter-facility workingrelationships to help accomplish goals; acts as a liaison between primary careproviders, specialist, and/or patient
Advocates on behalf of patient regarding accessibility ofservices
Follows State/County mandated guidelines for the nurse casemanagement programs
Participates in outreach activities to the entire targetpopulation, as directed
Recommends program/service changes to meet gaps in servicein 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 ofpractice
Participation and completion of Amergis' Competency programwhen applicable
Current CPR if applicable
TB questionnaire, PPD or chest x-ray if applicable
Current Health certificate (per contract or stateregulation)
Must meet all federal, state and local requirements
Successful completion of new hire training as applicable tojob site
Understand patient confidentiality and HIPAArequirements
Ability to effectively elicit/provide information to andfrom appropriate individuals (including, but not limited to, supervisors,co-workers, clients) via strong communication skills; proficiency in theEnglish 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.
