Catastrophic Nurse Case Manager with CCM Credential

What you will be doing :

• Identify, assess, plan, coordinate, implement, monitor, and evaluate options and services for individuals requiring case management services
• Provide for quality, cost-effective outcomes for the client through collaboration and communication with the client, the family, the physician, and other members of the health care team
• Process the case utilizing client's outcome management model and tools
• Obtain written authorization for case management services as well as release of information
• Assess the client / family to identify their strengths and resources; problems; psychosocial, financial, and medical history; current status; diagnosis; prognosis; functional status; goals; current treatment plan; and needs
• Develop a plan of care with client's model through interdisciplinary collaboration, which identifies realistic short- and long-term goals
• Identify, secure, and coordinate the services and resources to implement the plan
• Monitor services being provided for continued appropriateness and report to client and insurance carrier
• Evaluate the client's progress, the plan, and the appropriateness of the services provided, with modifications as necessary
• Provide ongoing instruction to the client and family regarding the injury / disease process, treatment options, and present care
• Promote the client's / family's self-advocacy skills to achieve maximum self-sufficiency
• Have knowledge of the benefit package as well as all available funding sources and systems of care and coordinate with the payer for authorization of payment
• Provide for in-depth reporting of outcomes encompassing clinical, functional, financial, and customer satisfaction areas
• Demonstrate effective, accurate, and timely verbal and written communication in all work situations
• Identify and disclose all situations which might result in exposure to legal liability and / or are indicative of poor quality care negatively affecting the client
• Frequently travel to patient appointments
• Perform other related duties as assigned in accordance with the necessary job function

Experience you will need :