Registered Nurse - Case Manager

**Core Responsibilities:**

• Engage comprehensively across all dimensions of the Case Management Program (CMP), ensuring adherence to established standards for case management (CM) care protocols.
• Provide specialized nursing insights throughout the CM process, encompassing assessment, planning, implementation, coordination, and ongoing evaluation. Proactively identify opportunities for CM integration and adaptability within local process frameworks.
• Design and execute targeted strategies for case management across diverse modalities, including inpatient, outpatient, onsite, and telephonic settings.
• Develop and implement supportive tools for case management operations, such as patient identification and assessment instruments, clinical practice guidelines, algorithms, case management software solutions, and community resource databases.
• Facilitate the convergence of CM with utilization management (UM), effectively integrating nursing case management and social work case management processes.
• Maintain collaborative relationships with relevant community agencies and organizations to enhance resource accessibility and patient care.
• Ensure accurate collection and documentation of patient care data to support quality outcomes.
• Formulate comprehensive treatment plans that encompass preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions, ensuring continuity of care aimed at achieving optimal patient wellness.
• Establish and monitor mechanisms for the effective implementation of patient treatment plans, with a focus on follow-up care in ambulatory and community healthcare settings post-discharge.
• Deliver tailored healthcare education to patients and/or caregivers, addressing specific learning needs identified during assessments.

**Work Schedule:**

• Monday to Friday, 8.5 hours daily within the timeframe of 7:00 AM to 5:30 PM.
• No weekend or holiday commitments.
• No on-call or callback responsibilities.

**Minimum Qualifications:**

• **Degree:** At least an Associate’s Degree in Nursing.
• **Education:** Must be a graduate from a nursing program accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE). Alternatively, a graduate of a State Board of Nursing or an accredited nursing program may be considered.
• **Certification:** Must hold one of the following certifications:
• Certified Case Manager (CCM) from the Commission for Case Manager Certification.
• Certified Disability Management Specialist (CDMS) from the Certification of Disability Management Specialists Commission.
• Certified Rehabilitation Registered Nurse (CRRN) from the Association of Rehabilitation Nurses.
• Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse-Specialist (COHN-S) from the American Board for Occupational Health Nurses.
• Advanced Certification in Continuity of Care (ACCC) from the National Board for Certification in Continuity of Care.
• Certified Rehabilitation Counselor (CRC) from the Commission on Rehabilitation Counselor Certification.
• Nurse Case Manager (RN-NCM) from the American Nurses Credentialing Center.
• Care Manager Certified (CMC) from the National Academy of Certified Care Managers.
• **Experience:** Minimum one year of nursing experience post-graduation.
• **Licensure:** Must possess an active, unrestricted license to practice as a Registered Nurse in any state.
• **Certification:** Current Basic Life Support (BLS) Healthcare Provider certification from AHA or ARC.
• **Security Clearance:** Must be able to successfully pass a government background check/security clearance.