**Core Responsibilities:**
- Engage comprehensively in the Case Management Program (CMP), ensuring adherence to established standards for case management (CM) care.
- Leverage nursing expertise to navigate the CM process encompassing assessment, planning, implementation, coordination, and monitoring. Identify opportunities for CM enhancements and seamlessly integrate local CM methodologies.
- Formulate and execute localized strategies for case management using a mix of inpatient, outpatient, onsite, and telephonic approaches.
- Develop and implement supportive tools for case management, including those for patient identification and assessment, clinical practice guidelines, decision-making algorithms, CM software, and community resource databases.
- Synthesize CM with utilization management (UM), ensuring smooth integration between nursing case management and social work case management practices.
- Foster professional relationships with pertinent community organizations and agencies.
- Collect and accurately document patient care data for effective decision-making and continuity of care.
- Design comprehensive treatment plans that encompass preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions, ensuring a focus on optimal patient wellness.
- Establish robust mechanisms for the implementation of patient treatment plans and facilitate follow-up care in ambulatory and community healthcare settings post-discharge.
- Deliver targeted health care education to patients and/or caregivers, tailored to identified learning needs.
**Work Schedule:**
- Monday to Friday, requiring 8.5 to 9 hours of work between 7:30 AM and 5:30 PM, inclusive of a lunch break.
- No weekend or holiday obligations, with no on-call or callback responsibilities.
**Minimum Qualifications:** -
**Education:** Bachelor of Science in Nursing (BSN). -
**Experience:** A minimum of one year of experience as an RN Case Manager within the past three years. - **License:** Must possess an active, unrestricted RN license. -
**Board Certification:** Required to obtain a case management-related certification (such as CCM, CDMS, CRRN, COHN, COHNJ-S, ACCC, CRC, RN-NCM, or CMC) within six months of hire. Employer reimbursement for certification costs is available. -
**Life Support Certifications:** Basic Life Support (BLS). -
**Security Clearance:** Must successfully pass a government background check and obtain the necessary government security clearance.
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