The Arora Group Registered Nurse Case Manager in Lemoore, California

Registered Nurse Case Manager

Nurse

Currently recruiting a Registered Nurse Case Manager (RNCM) in Lemoore, California. The RN Case Manager will provide case management services for American heroes on active duty, their families, and retired military personnel at the newly-constructed Naval Hospital Lemoore. This RN Case Manager position is full-time, working 8 hours Monday-Friday, scheduled between the hours of 7:30am and 5:30pm.

DUTIES OF THE REGISTERED NURSE CASE MANAGER:

  • Registered Nurse Case Manager participates in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case management (CM) standards of care. Assist in coordinating a multidisciplinary team to meet the health care needs, including medical and/or psychosocial management, of specified patients.

  • Serve as consultant to all disciplines regarding CM issues. 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 policies and protocols for home health assessments and outcome measures.

  • Develop and implement tools to support case management, such as those used for patient identification and patient assessment, clinical practice guidelines, algorithms, CM software, databases for community resources, etc.

  • Integrate CM and utilization management (UM) and integrate nursing case management with social work case management. Prepare routine reports and conduct analyses.

  • Assist in establishing and maintaining liaison with appropriate community agencies and organizations, the TRICARE Lead Agent office, and the Managed Care Support Contractor.

  • Maintain adherence to JCAHO, URAC, CMSA and other regulatory requirements. Apply medical care criteria (e.g., InterQual).

  • Ensure accurate collection and input of patient care data and ensure basic CM budgetary management.

  • Provide input on hospital's CM resources and make recommendations to the Command as to how those resources can best be utilized.

  • Collaborate with the multidisciplinary team members to set patient-specific goals. Develop treatment plans including preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to ensure continuity of care toward the goal of optimal wellness.

  • Establish and implement mechanisms to ensure proper implementation of patient treatment plan and follow-up post discharge in ambulatory and community health care settings.

  • Provide nursing advice and consultation in person and via telephone.

  • Ensure appropriate health care instruction to patient and/or caregivers based on identified learning needs.

  • Alert physicians to significant changes or abnormalities in patients and provide information concerning their relevant condition, medical history and specialized treatment plan or protocol.

  • Facilitate multidisciplinary discharge planning and other professional staff meetings as indicated for complex patient cases and develop a database and knowledge of local community resources.

  • Develop and implement mechanisms to evaluate the patient, family and provider satisfaction and use of resources and services in a quality-conscious, cost-effective manner.

  • 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.

  • Plan for professional growth and development as related to the case manager position and maintenance of CM certification. Actively participate in professional organizations including participation in at least one annual national CM conference to be funded by the Government to be scheduled at the convenience of the government if funding, location and time permit.

  • Establish cost containment/cost avoidance strategies for case management and develop mechanisms to measure its cost effectiveness.

  • Assist with the Electronic Health Record CHCS/AHLTA CM interface or other database designed to support CM.

  • Participate in video teleconferences (VTCs) and other meetings as required.

QUALIFICATIONS OF THE REGISTERED NURSE CASE MANAGER:

  • The RN Case Manager must possess and maintain a current certification from one of the following accredited organziations:

  • 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)

  • 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

OR

  • Possess a Masters Degree in Nurse Case Management from a program accredited by the American Nurses Credentialing Center (ANCC). The HCW is required to obtain any one of the above certifications within 6-months of contract start.

  • U.S. Citizenship (required for access to Gov't computer systems)

COMPENSATION & BENEFITS OF THE REGISTERED NURSE CASE MANAGER

  • 26 days paid time off per year!

  • 10 paid Federal holidays

  • Health & Welfare allowance covers the cost of health insurance, long and short-term disability, and life insurance

  • Dental and optical plans offered

ABOUT THE ARORA GROUP

The Arora Group is an award-winning, Joint Commission-certified nationwide healthcare services company that, for over 25 years, has provided medical care for the men and women who serve our country in the U.S. Armed Forces. Our mission is to provide world-class care and give our over 500 healthcare professionals opportunities to improve their skills, learn from the best, and serve the needs of active duty servicemembers, their families, and veterans.

EOE AA M/F/Vet/Disability

Tags: registered nurse, RN, medical management, discharge planning, utilization review, case management, clinic, healthcare, health care, medical

Job Details

City

Lemoore

State

CA