Nurse Case Manager (RN- Outpatient)

Job Title: Registered Nurse (RN)

Location: 21229

Overview: The Registered Nurse Care Manager (RNCM) is a critical part of the health care team and is responsible and accountable to the patients. The RNCM assists clinicians in the development of the plan-of-care for patients. In this role the RNCM is responsible for the care management and coordination of a patient panel and act as an advocate, educator and resource person for this population.

Key Responsibilities:

• Overview of Responsibilities:

  • Oversees the care plan for the patient based on clinician recommendations

  • Communicates the personalized plan of care to the patient/family/significant other

  • Ensures, to the degree possible, the patient's adherence to the care plan via guidance/education

  • Provides/oversees coordination of services for the patient based on the diagnosis and the plan of care developed by the clinical team.

  • Performs in-depth screening of enrollees for disease and/or case management eligibility, using predetermined criteria as outlined in the disease case management program.

  • Completes a nursing assessment/note in the patient's chart after face-to-face interactions, telephone conversations and/or clinical team meetings.

  • Provides preventative and disease-based education based on the diagnosis and or any needs identified during pre-visit huddles, Rounds, etc.

  • Follows up on referrals, imaging, laboratory testing, specialty referrals, and other external encounters as recommended by the clinical team

  • Presents pertinent clinical, behavioral, or social patient information to the team during clinical team meetings or as requested.

  • Maintains ongoing communication with Physician and health plan providers regarding enrollee's condition and response to care.

  • Collaborates with the Community Health Worker (CHW) to enhance identification of barriers to care and reports to the clinicians and their teams.

  • Works with the patient to encourage self-management of medical conditions/care

  • Monitors the Health Information Exchange (i.e. CRISP) to identify high risk patients or patients

• Active RN License.
• Ideally, 1-2 years of experience in an outpatient setting preferred. Candidates with experience in inpatient acute care or case management will also be considered.

Schedule:

• Full-time, 40 hours per week.
• Monday to Friday, 8:00 AM - 4:30 PM. one late day 10-7pm

Compensation:

• Pay Range: $40-45/hr