Description
Position Summary:
The Registered Nurse Non-Certified Case Manager works with physicians and multidisciplinary team members to develop a plan of care for assigned patients. Ensures patient is progressing towards desired outcomes by monitoring care through assessments and/or patient records. Identifies and resolves barriers that hinder effective patient care. Actively involved in discharge planning process.
Minimum Qualifications:
+ Montana Licensure (Registered Nurse)
+ American Heart Association BLS
+ Minimum of 2 years of nursing experience
+ Preferred: Bachelor's Degree in Nursing
+ Preferred: 2 years of acute care hospital experience as a case manager
Essential Job Functions:
+ Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in the assessment.
+ Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
+ Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
+ Maintains ongoing member case load for regular outreach and management.
+ Promotes integration of services for members including behavioral health care and long term services and supports/home and community to enhance the continuity of care for members.
Knowledge, Skills and Abilities
+ Demonstrates sound judgement, patience, and maintains a professional demeanor at all times
+ Ability to work in a busy and stressful environment
+ Strong interpersonal, verbal and written communication skills
+ Exercises tact, discretion, sensitivity and maintains confidentiality
+ Computer applications, MS Office, EMR, internet applications and standard office equipment
+ Ability to analyze, organize and prioritize work while meeting multiple deadlines
+ Strong emotional intelligence, interpersonal and teamwork skills
The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification. They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by individuals so classified.
77346680 Case Management
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