Job Description

QUALIFICATIONS:

• Degree: Associates Degree of Nursing.

EDUCATION/CERTIFICATION:

• Education: Graduate from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE).

Certification: 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).

EXPERIENCE:

• One year of experience in nursing.

Job Duties and Responsibilities:

The duties include but are not limited to the following:

• Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case management (CM) standards of care.
• Provide nursing expertise about the CM process, including assessment, planning, implementation, coordination, and monitoring. Identify opportunities for CM and identify and integrate local CM processes.
• Develop and implement local strategies using inpatient, outpatient, onsite and telephonic CM.
• Develop and implement tools to support case management, such as those used for patient identification and patient assessment, clinical practice guidelines, algorithms, CM software, and databases for community resources.
• Integrate CM and utilization management (UM) and integrating nursing case management with social work case management.
• Maintain liaison with appropriate community agencies and organizations.
• Accurately collect and document patient care data.
• Develop treatment plans including preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to ensure continuity of care toward the goal of optimal wellness.
• Establish mechanisms to ensure proper implementation of patient treatment plan and follow-up post discharge in ambulatory and community health care settings.
• Provide appropriate health care instruction to patient and/or caregivers based on identified learning needs.

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