Job Description

**Core Responsibilities:**

- Engage comprehensively in all components of the Case Management Program (CMP) to ensure compliance with established case management (CM) standards of care.

- Leverage nursing expertise throughout the CM process, involving assessment, planning, implementation, coordination, and monitoring. Identify and capitalize on opportunities to enhance CM efficacy and integrate local CM methodologies.

- Design and execute localized strategies encompassing inpatient, outpatient, onsite, and telephonic case management. - Create and implement tools that underpin case management functions, including instruments for patient identification and assessment, adherence to clinical practice guidelines, algorithms, CM software, and community resource databases.

- Facilitate the integration of case management with utilization management (UM) and harmonize nursing case management with social work case management.

- Maintain productive relationships with relevant community agencies and organizations.

- Collect and document patient care data meticulously to ensure accuracy and compliance.

- Formulate comprehensive treatment plans that encompass preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to promote continuity of care aimed at achieving optimal wellness.

- Establish robust mechanisms to guarantee effective execution of patient treatment plans and ensure adequate follow-up post-discharge in both ambulatory and community healthcare contexts.

- Deliver tailored health care education to patients and/or caregivers based on assessed learning needs.

**Work Schedule:** - Monday to Friday, 8.5-hour shifts between 7:00 AM and 5:30 PM.

- No weekends, holidays, on-call, or call-back duties.

**Minimum Qualifications:**

- **Degree:** At minimum, an Associate Degree in Nursing. - 

**Education:** Graduates from programs accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE) are preferred. Alternatively, graduates from a State Board of Nursing or other accredited nursing programs may qualify. - 

**Certifications:** Candidates must possess 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 of one year of post-graduation nursing experience. - 

**Licensure:** A current, full, active, and unrestricted Registered Nurse license from any state. - 

**Certification:** Current Basic Life Support (BLS) Healthcare Provider certification from AHA or ARC. - **Security:** Must be able to successfully pass a government background check/security clearance.

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