Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case management (CM) standards of care.
Provide nursing expertise about the CM process, including assessment, planning, implementation, coordination, and monitoring. Identify opportunities for CM and identify and integrate local CM processes.
Develop and implement local strategies using inpatient, outpatient, onsite and telephonic CM
Develop and implement tools to support case management, such as those used for patient identification and patient assessment, clinical practice guidelines, algorithms, CM software, and databases for community resources.
Integrate CM and utilization management (UM) and integrating nursing case management with social work case management.
Maintain liaison with appropriate community agencies and organizations.
Accurately collect and document patient care data.
Develop treatment plans including preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to ensure continuity of care toward the goal of optimal wellness.
Initiate case management services for patients who require full or partial hospitalization for acute or long term stabilization to ensure quality outcomes for mental health care.
Coordinate timely and appropriate level of care for patients who require inpatient services.
Track and coordinate care for all limited duty, medical board, and temporary disability retirement list (TDRL) personnel which encompass the entire WII population.
Recognize signs of abuse or neglect and ensure appropriate action is taken.
Establish mechanisms to ensure proper implementation of patient treatment plan and follow-up post discharge in ambulatory and community health care settings.
Associates Degree of Nursing or higher.
Graduate from a college or university accredited by National League for Nursing Accrediting Commission (NLNAC), or The Commission on Collegiate Nursing Education (CCNE).
Possess one of the following certifications:
Commission for Case Manager Certification Certified Case Manager (CCM)
Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN)
American Board for Occupational Health Nurses Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse-Specialist (COHN-S).
National Board for Certification in Continuity of Care: Advanced Certification in Continuity of Care (ACCC)
Commission on Rehabilitation Counselor Certification: Certified Rehabilitation Counselor (CRC)
American Nurses Credentialing Center Nurse Case Manager (RN-NCM)
National Academy of Certified Care Managers: Care Manager Certified (CMC)
Minimum of one year of experience in nursing after graduation.
Current, full, active, and unrestricted license to practice as a Registered Nurse.
U.S. Citizen (required for access to Gov't computer systems)
Internal Number: 1772
About The Arora Group, Inc.
The Arora Group is a healthcare services recruiting firm dedicated to serving those who serve our country. We connect highly skilled healthcare professionals with medical government contract jobs nationwide.