Registered Nurse - Case Manager with/BONUS - 5151

We have a new opening for a Registered Nurse - Case Manager at Naval Health Clinic Cherry Point in Havelock, NC.

Core Duties:

• 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.

Additional Duties assigned:

• Participate in a multidisciplinary team to meet the health care needs, including medical and/or psychosocial management, of specified patients.
• Maintain adherence to the Joint Commission, URAC, CMSA, DHA and other regulatory requirements. Apply medical care criteria (e.g., InterQual).
• Establish cost containment/cost avoidance strategies for case management and develop mechanisms to measure its cost effectiveness.
• Collaborate with the multidisciplinary team members to set patient-specific goals.
• Alert physicians to significant changes or abnormalities in patients and provide information concerning their relevant condition, medical history and specialized treatment plan or protocol.
• Implement strategies to ensure smooth transition and continued health care treatment for patients when the military member transfers out of the area.
• Develop a policy for, and assist with, region-to-region transfers.
• Facilitate screening and assist with transfers of Exceptional Family Member Program (EFMP) families.
• Participate in video teleconferences (VTCs) and other meetings as required.
• Provide guidance of the patients’ health care needs to include medical and or psychosocial management of specified patients, monitor active-duty inpatient admissions and report the required per facility policy.
• The RNCM will be responsible for reporting chronic “No Show” of patients, per facility policy.
• In addition, the RNCM will monitor active-duty inpatient admissions and report the required data per facility policy.

Work Schedule:

• Monday - Friday, 8.5 hours between 7:00am and 5:30pm, including a one hour lunch.
• No weekends or holidays.
• No On-Call or Call-Back.

Minimum Qualifications:

• Degree: Possess an Associates or Bachelors degree in Nursing from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE). The applicant may also be a graduate from a State Board of Nursing or accredited nursing program.
• Experience: A minimum of 1 year of full-time experience as a RN Case Manager within the past 24 months.
• 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)
• Licensure: Current, full, active and unrestricted license as a Registered Nurse.
• Life Support Certification: Possess a current AHA OR ARC BLS Healthcare Provider certification.
• Security: Must possess ability to pass a Government background check/security clearance.

We are an equal opportunity employer and a drug free workplace. All applicants selected for employment are required to submit to a background check and pre-employment drug test. Excellent Compensation.