Registered Nurse Case Manager (RNCM) needed to work in the Family Medicine Clinic supporting the Wounded, Ill, and Injured (WII) program at Naval Hospital Camp Pendleton, near Oceanside, CA. The RN Case Manager will provide case management services for Active Duty member, their families, and retired military personnel. This RN Case Manager position is full-time, working 8 hours Monday - Friday between the hours of 7:30am and 5:30pm. AGI is a well-respected contract healthcare staffing company with over 600 employees. We place highly-qualified healthcare workers in various Department of Defense hospitals/clinics throughout the country. Our goal is to provide world-class health care to the Government, offer you a place to improve your skills, learn from the best, and continue your dedication and passion to serve the needs of our Armed Forces. What makes Our commitment to our patients and our staff that cares for them has made us successful for over 25 years. Join AGI working in a fulfilling job in the brand new Naval Hospital Camp Pendleton. Enjoy a very competitive compensation structure, with an excellent starting pay and compensation.
Join AGI working in a fulfilling job in modern outpatient clinics in newly-constructed Naval Hospital Camp Pendleton, CA. Enjoy a very competitive compensation structure, with an excellent starting pay and compensation. DUTIES OF THE REGISTERED NURSE CASE MANAGER:
Registered Nurse Case Manager participates in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case management (CM) standards of care. Assist in coordinating a multidisciplinary team to meet the health care needs, including medical and/or psychosocial management, of specified patients.
Serve as consultant to all disciplines regarding CM issues. 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 policies and protocols for home health assessments and outcome measures.
Develop and implement tools to support case management, such as those used for patient identification and patient assessment, clinical practice guidelines, algorithms, CM software, databases for community resources, etc.
Integrate CM and utilization management (UM) and integrate nursing case management with social work case management. Prepare routine reports and conduct analyses.
Assist in establishing and maintaining liaison with appropriate community agencies and organizations, the TRICARE Lead Agent office, and the Managed Care Support Contractor.
Maintain adherence to JCAHO, URAC, CMSA and other regulatory requirements. Apply medical care criteria (e.g., InterQual).
Ensure accurate collection and input of patient care data and ensure basic CM budgetary management.
Provide input on hospital's CM resources and make recommendations to the Command as to how those resources can best be utilized.
Collaborate with the multidisciplinary team members to set patient-specific goals. Develop treatment plans including preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to ensure continuity of care toward the goal of optimal wellness.
Establish and implement mechanisms to ensure proper implementation of patient treatment plan and follow-up post discharge in ambulatory and community health care settings.
Provide nursing advice and consultation in person and via telephone.
Ensure appropriate health care instruction to patient and/or caregivers based on identified learning needs.
Alert physicians to significant changes or abnormalities in patients and provide information concerning their relevant condition, medical history and specialized treatment plan or protocol.
Facilitate multidisciplinary discharge planning and other professional staff meetings as indicated for complex patient cases and develop a database and knowledge of local community resources.
Develop and implement mechanisms to evaluate the patient, family and provider satisfaction and use of resources and services in a quality-conscious, cost-effective manner.
Implement strategies to ensure smooth transition and continued health care treatment for patients when the military member transfers out of the area. Develop a policy for, and assist with, region-to-region transfers.
Facilitate screening and assist with transfers of Exceptional Family Member Program (EFMP) families.
Plan for professional growth and development as related to the case manager position and maintenance of CM certification. Actively participate in professional organizations including participation in at least one annual national CM conference to be funded by the Government to be scheduled at the convenience of the government if funding, location and time permit.
Establish cost containment/cost avoidance strategies for case management and develop mechanisms to measure its cost effectiveness.
Assist with the Electronic Health Record CHCS/AHLTA CM interface or other database designed to support CM.
Participate in video teleconferences (VTCs) and other meetings as required.
Coordinate care for high-risk patients with complex needs, i.e., chronic illnesses, wounded ill and injured, high Emergency Department utilizers and patients at risk for hospitalization.
Provide consultative case management care for all enrollees in the Patient Centered Medical Home Port (MHP) using evidence-based interventions and Clinical Practice Guidelines where appropriate for treating health problems.
Identify, track, monitor and follow up with medical, behavioral or psychosocial difficulties experienced by patients in the Medical Home Port Clinic.
Coordinate healthcare plans for patients in the Medical Home Port Clinic by taking a collaborative approach to patient’s health care needs across the care continuum (hospital, home, ambulatory care setting, community extended care facility).
Ensure the development of multi-disciplinary treatment plans to include preventive, therapeutic, rehabilitative and psychosocial interventions to ensure continuity of care towards the goal of optimal wellness.
Apply the bio-psychosocial model of assessment to the primary care setting. Formulate diagnostic and treatment recommendations and present findings to treatment teams (i.e., physicians, social workers, psychologists, Corpsmen, and nursing staff, as appropriate).
Develop and participate in group medical appointments including Shared Medical Appointments (SMA) and Drop-In Group Medical Appointments (DIGMA) as requested by the Primary Care Manger (PCM).
Provide acute consultation with team members (e.g., physician, PCM, nurse).
Provide for unscheduled, (e.g., “walk-in”), acute consultative appointments in a timely manner for enrollees when referred by the physician or PCM.
COMPENSATION & BENEFITS
26 days paid time off per year!
10 paid Federal holidays
Health & Welfare allowance covers the cost of health insurance, long and short-term disability, and life insurance
