The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's health needs through communication and available resources to promote optimal outcomes.
Responsibilities include:
- Uses a collaborative team approach.
- Assesses, plans, implements, coordinates, monitors, and evaluates options and services to meet complex health needs of individuals and/or populations, inpatient and/or outpatient, which promote appropriate, timely, clinically effective, and cost-efficient patient care.
- Responsible for insuring through facilitation, negotiation, procurement, advocacy, communication, and empowerment using quality care, appropriate costing, and involvement necessary for the achievement of mutually developed treatment goals.
- Nurse Case Managers will address patterns or problems at the patient, provider, and/or systems levels to promote smooth transition of patients through the health care experience.
- The NCM will seek resolution for identified problems, through individual or collaborative effort(s), to assure appropriate utilization and optimization of resources.
- Essential activities are provided throughout the continuum of care, and span multiple environmental settings with diverse systems, providers, and levels of care.
- Intervenes or interacts, when necessary, with all relevant components of the client's health care system.
- Managing an individual or population's broad spectrum of needs involves no less than 50% of the NCMs’ time in provision of direct client care service.
- Case management requires practice within multiple roles in the fulfillment of the positions’ responsibilities.
Skills / Education:
- Preferred education and experience - Graduate of an accredited school of nursing with documented training and skills verifications with a minimum of a Bachelors Degree in Nursing and additional training as a Case Manager with minimum of 1 year experience as a case manager. Certified Case Management (CCM) preferred.
- Required education and experience - Registered Nurses who do not have a Bachelors Degree but possess at least one year of experience as a NCM or Registered Nurses with a Bachelors Degree and a strong medical/surgical background may also be considered eligible