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Registered Nurse Case Manager

Registered Nurse Case Manager

Insight GlobalDeltona, FL, US
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Job Description

Job Description

Must Haves :

  • Registered Nurse license (FL) and BLS certification
  • 2 years of experience as a Care Manager
  • Ability to interact and verbally communicate effectively with patients and all levels of personnel in a professional manner.

Nice to have :

  • Medicare Advantaged Care experience
  • IV certified

    • Day to Day :

  • A client in the Deltona, FL area is looking for a Case Manager to join their team. The position will assist with reduction in overall admissions, readmissions, and ER visits. The CM is responsible for successfully supporting patients with high-risk health conditions to navigate the healthcare system. The CM assists in developing patient empowerment by acting as an educator, resource, and advocates for patients and their families to ensure a maximum quality of life. The CM interacts and collaborates with multidisciplinary care teams, to include physicians, nurses, pharmacists, laboratory technologists, social workers, and other educators.

    • Additional responsibilities :

  • Meets with patients, patients’ families and caregivers as needed to discuss care and treatment plan as delineated in Transitions of Care program.
  • Identifies and assists with the follow-up of high-risk patients in acute care settings, skilled nursing facilities, custodial and ambulatory settings.
  • Uses protocols and pathways in line with established disease management and care management programs and approved by medical management to optimize clinical outcomes.
  • Oversees provisions for discharge from facilities including follow-up appointments, home health, social services, transportation, etc., to maintain continuity of care.
  • Maintains effective communication with the physicians, disease management, hospitalists, extended care facilities, patients, and families.
  • Demonstrates a thorough understanding of the cost consequences resulting from Care Management decisions through utilization of reports and systems such as Health Plan Benefits, utilization of metrics and CM reports.
  • Participates in daily huddles and Patient Care Coordination (PCC) meetings
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    Registered Nurse Case Manager • Deltona, FL, US

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