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Registered Nurse (RN) - Case Manager (RN #)

Company: FEDERAL STAFFING RESOURCES
Location: Denver
Posted on: June 14, 2019

Job Description:

Registered Nurse (RN) - Case Manager job in Colorado Springs, CO.
The Registered Nurse (RN) - Case Manager job is a civilian position within the military medical system. Civilian and military personnel work together in the extensive military medical system which provides services to the active duty military service members, military retirees, and their families.
Our employees are our best assets! Come join our team of healthcare professionals where you are valued.

  • Monday-Friday schedule
  • Paid Time Off and Paid Holidays
  • Competitive Compensation
  • Benefit Package (health, dental, and vision plans) Registered Nurse (RN) - Case Manager Job Overview:
    • Performs healthcare coordination and case management activities IAW Medical Treatment Facility (MTF) instructions.
    • Knowledge of professional care theories, principles, practices, and procedures to perform patient assessments with specific experience in the case management evaluation and assessment of pediatric, adult and geriatric patients as appropriate.
    • Ensures compliance with standards of care and practice
    • Excellent oral communication skills for patient education and telephone management of patients.
    • Sufficient initiative, interpersonal relationship skills and social sensitivity such that he/she can relate constructively to a variety of patients and healthcare staff from diverse backgrounds.
    • Demonstrates ability to prioritize, organize, problem-solve and coordinate daily activities to support effective improvement in individual patients.
    • Collaborates with military and civilian healthcare providers and staff, and uses Utilization Management (UM) systems support to identify high-risk/high cost patients within MTF population.
    • Determines eligibility for healthcare coordination/case management services.
    • Coordinates with healthcare providers to ensure appropriate appointment alternatives, access and quality of care.
    • Coordinates services for eligible patients based on subjective and objective assessment data and identified patient/family needs.
    • Facilitates a multidisciplinary team to develop a treatment plan to address all identified conditions and problems. Integrates health education, promotion and prevention activities utilizing available MTF and local civilian condition/disease management resources.
    • Assists TRICARE eligible and Medicare-eligible patients in accessing local TRICARE and Medicare providers in conjunction with the MTF Referral Centers and the Central Referral Center.
    • Maintains current directories of local Medicare providers, suppliers, and Institutions.
    • Collaborates with resource management resources (i.e. Medicare, Medicaid, TRICARE Management Activity (TMA) to research available financial and statistical data to determine cost effectiveness of proposed patient care.
    • Demonstrates knowledge, skill and ability to use basic office automation and information management equipment and programs (i.e. word processing, database management, email, etc.).
    • Evaluates case management process utilizing defined parameters such as admissions, length of stay, level of care, Emergency Department/outpatient clinic visits and patient outcomes and institutes appropriate interventions.
    • Generates and maintains appropriate patient administrative records and provides upon request. Registered Nurse (RN) - Case Manager Job Qualifications:
      • Bachelor of Science Degree in Nursing (BSN)
      • Graduate from a NLN or AACN accredited college or university
      • RN license: any US state
        • Case Management certification desired
        • 3 years of documented medical or surgical experience
        • At least 1 year Case Management experience Experience in outpatient, home-health care, skilled nursing facility, hospice and mental health services are desired
          • TRICARE and Medicare/Medicaid services and benefits - extensive knowledge
          • Medicare eligible patient experience - preferred
          • Military medical health care system - highly preferred Come join our team of healthcare professionals!

            Keyphrases: medical case management jobs, case manager jobs, case manager consultant jobs, case management consultant jobs, geriatric case management jobs, case management nursing jobs, nurse case manager jobs

Keywords: FEDERAL STAFFING RESOURCES, Denver , Registered Nurse (RN) - Case Manager (RN #), Healthcare , Denver, Colorado

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