Currently recruiting a Registered Nurse (RN) Case Manager in North Chicago, Illinois, to work at the Captain James A. Lovell Federal Health Care Center and provide care to our nation's Active Duty military heroes, their family members, and retirees. The Registered Nurse Case Manager will support the Psychological Health and Traumatic Brain Injury Program. The Registered Nurse Case Manager position is full-time, 80 hrs / 2 weeks, Mon - Fri, between 6:30AM - 6:30PM.
DUTIES OF THE REGISTERED NURSE CASE MANAGER (RN):
- Participate 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 Defense Health Agency (DHA), and the Managed Care Support Contractor.
- Maintain adherence to Joint Commission, Utilization Review Accreditation Commission (URAC), Case Management Society of America (CMSA), and other regulatory requirements. Apply medical care criteria (e.g., InterQual).
- Assist with collecting and analyzing baseline data and ongoing outcomes to support continuous quality and cost effective improvement. Identify gaps in existing services and assists in the development and implementation of appropriate services in a timely and cost effective manner based on extensive knowledge of case management principles and established standards of care. Trend variances and address them to support continuous quality improvement.
- Provide input on MTF CM resources and make recommendations to the Command as to how those resources can best be utilized.
- Work in conjunction with the entire healthcare team and other departments, to identify high-risk and/or high-utilizer populations to include but not limited to those beneficiaries with multiple providers, multiple admissions/readmissions, Emergency Department visits, catastrophic illness, chronic or terminal illness, and multiple medical problems/dual diagnoses.
- Provide the patient/ family with the knowledge and skills necessary for the implementation of the established plan. Facilitate patient and family decision-making activities by keeping them well informed of their rights, responsibilities and options. When indicated, follow patients through hospitalization and follows up in ambulatory and community health care settings.
- Ensure appropriate health care instruction to patient and/or caregivers based on identified learning needs.
- Facilitate multidisciplinary discharge planning
- Facilitate screening and assist with transfers of Exceptional Family Member Program (EFMP) families and service members going through the Integrated Disability and Evaluation System (IDES).
- Participate in video teleconferences (VTCs) and other meetings as required.
QUALIFICATIONS OF THE REGISTERED NURSE CASE MANAGER (RN):
- Be a graduate of a school of nursing accredited by the Accreditation Commission for Education in Nursing (ACEN), formerly known as the National League for Nursing Accrediting Commission (NLNAC), or the Commission on Collegiate Nursing Education (CCNE) that conferred a nursing baccalaureate or an advanced nursing degree and possess and maintain one or more of the certifications listed below:
- Certification: Possess one of the following certifications:
- Commission for Case Manager Certification Certified Case Manager (CCM)
- Certification of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS)
- 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)
- OR be a graduate of a school of nursing accredited by the Accreditation Commission for Education in Nursing (ACEN), formerly known as the National League for Nursing Accrediting Commission (NLNAC), or the Commission on Collegiate Nursing Education (CCNE) that conferred a nursing baccalaureate or an advanced nursing degree and possess a minimum of six (6) months of case management experience within the preceding thirty six (36) months and obtain any of the above certifications within six (6) months of commencing performance.
- Possess two years of the last three years experience working on a medical/surgical ward or an inpatient acute rehabilitation unit.
- Current, full, active, and unrestricted license to practice as a Registered Nurse from any state, territory, the District of Columbia.
- Must be a U.S. citizen (for access to Gov't computer systems)
COMPENSATION & BENEFITS:
• Competitive pay
• 17 days paid time off (vacation + sick leave) per year
• 10 paid Federal holidays
• Health & Welfare allowance mostly covers the cost of health insurance, long and short-term disability, and life insurance
• Dental and vision plans offered, 401(k)
ABOUT THE ARORA GROUP:
The Arora Group is an award-winning, Joint Commission-certified nationwide healthcare services company that, for over 30 years, has provided medical care for the men and women who serve our country in the U.S. Armed Forces. Our mission is to provide world-class care and give our healthcare professionals opportunities to improve their skills, learn from the best, and serve the needs of active duty service members, their families, and veterans.
EOE AA M/F/Vet/Disability