Currently recruiting a Registered Nurse (RN) Case Manager to work the Directorate of Healthcare Operations (DHO) at Walter Reed National Military Medical Center, Bethesda, Maryland. Full-time, Monday - Friday between 7:00AM and 4:30PM.
DUTIES OF THE REGISTERED NURSE CASE MANAGER (RN):
- Provide professional case management services at Walter Reed National Military Medical Center (WRNMMC)
- Function as a member of a multidisciplinary team to meet individual and family comprehensive health needs. Duties involve planning, coordinating, facilitating, and evaluating health care, serving as an advocate for patient options and services.
- Utilize communication and available resources to promote quality and cost-effective outcomes, across the continuum of care.
- Serves as a clinical case manager and patient advocate, providing advanced practice clinical, administrative, and organizational skills in managing the continuity, access, and provision of care services for complex and defined patients, to include catastrophic and end-of-life patient populations.
- Responsible for identification and management of patients with targeted, high risk and high cost diagnoses.
- Independently perform difficult and complex assessment, review, coordination, planning, monitoring, evaluation and analysis of cases.
- Screen potential case management clients, following identification for appropriateness/benefit of case management services. Interviews and provides individual counseling, as needed.
- Address services needed to optimize current health, psycho-social, spiritual status, and benefits of case management services.
- As required, enter approved metrics, patient data, and clinical progress notes into a prescribed database.
- Conduct comprehensive assessment of patients, to establish in detail and specificity, the nature of their care needs, as well as causal and contributing conditions and circumstances.
- Participate in a multi-disciplinary team to develop a treatment plan to address all identified conditions and problems
- Identify psychosocial aspects of anticipated care needs, to identify potential barriers to optimal health, resource utilization, and methods for minimizing barriers.
- Assist the patient and the family in developing, documenting, and implementing appropriate care plans, and accessing agencies and care providers.
- Apply a holistic approach to address health care needs, in collaboration with all health team members, to include the patient and the patient's family, as warranted.
- Serve as advocate for patients and their families, in obtaining services and support.
- Serve as a senior nursing leader and advances the nursing profession in case management. Introduces innovative nursing techniques, practices, and approaches, in collaboration with health care providers, to identify, plan, assess, and coordinate care programs, designed to provide efficient, comprehensive, and cost effective service for case-managed patients, throughout the continuum of care.
- Conduct training in nurse case management for professional and paraprofessionals personnel, within the medical treatment facility (MTF). Provide education, counseling, and clinical assistance, in advanced techniques, to nursing personnel, medical students, interns/residents, staff physicians, and administrators. Provide formal and informal consultation, briefings, and educational offerings.
- Represent the case management service, on or before, a variety of committees, boards, agencies, and concerned groups, as directed.
- Coordinate with a patient-focused multidisciplinary team of clinicians to develop time-line protocols and high quality, affordable health care for selected case-managed patients and beneficiaries, facilitating desirable patient outcomes.
- Identify strategies to improve patient access, reduce administrative burdens for DOD beneficiaries, and improve the cost effectiveness for the civilian/military health care delivery system. Identify problems with health care access and utilization, in both the military and civilian sectors, and recommends alternatives to overcome difficulties. Interface with local, state, and federal agencies in obtaining regulations, policy manuals, and handouts, developing procedural guidelines to provide access to available programs. Ensure guidelines are in compliance with case management standards of practice. Propose regulatory and administrative changes to resolve identified problems or concerns.
- Coordinate patient care through a continuum and facilitate the achievement of optimal outcomes in relation to care, quality and cost effectiveness.
- Maintain excellent patient assessment skills, use the nursing process as a basis for professional practice, and demonstrate proper preparation of patients for treatments and procedures, to include surgical interventions.
- Prescribe and communicate treatment plans IAW established acceptable practices in established MTF policy and procedures and IAW JC guidelines. Telephone and in-person assessment/evaluation includes the determination of optimal time and location for patient management (ER, clinic, homecare) and follow-up care as required.
- Collect and assess significant patient history information and performs all necessary patient teaching.
- Demonstrate and adhere to peri-operative, infection control and safety policies and procedures used in the MTF and IAW JC guidelines.
- Schedule referral appointments, arranges for procedures, and performs telephone follow-up, as appropriate.
- Document as directed, the disposition of referrals, MEPERS, EOM reports, and actively participate in weekly/bi-weekly medical management conferences and report any updates to the staff on practice guidelines. Follow a systematic process to identify patients in need of referrals. Report high risk, high cost, and difficult patient situations, to the Department Head as indicated. Provide orientation for other new to the role and/or the facility. Maintain education specific to the department and certification requirements as necessary.
- Document as directed, the Case Management (CM) workload and patient care plans, MEPRS, EOM reports, and actively participate in weekly case management patient care conferences. Follow a systematic process to identify patients for referral to Case Management. Report high risk, high cost, and difficult situations, to the Department Head as indicated. Provide orientation for Case Managers new to the role and/or the facility. Maintain education specific to the department and certification requirements as necessary.
- Serves as advisor and consultant regarding development, implementation, and management of the MTF healthcare UM/RM activities. Utilizes critical thinking skills to support, coordinate, and implement all aspects and stages of the UM/RM program, identifying patient care process improvements, through continual review of processes.
QUALIFICATIONS OF THE REGISTERED NURSE CASE MANAGER (RN):
- Degree: Minimum Associate Degree of Nursing from a college or university accredited by the National League for Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE).
- Experience: (a) Referral Management/Utilization Management (RM/UM) experience. (b) Clinical subspecialty experience in Behavioral Health (2-5 years current experience). (c) Knowledge of sources for patient care data. Examples are: medical records via ESSENTRIS and CHCS, 24 hour nursing reports, logs, consults and computerized data, RMS.
- 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)
- One year of experience in RN Case Management after graduation.
- Current, full, active, and unrestricted license to practice as a Registered Nurse
- Current certification in one of the following: American Heart Association Basic Life Support (BLS) for Healthcare Providers or American Heart Association Healthcare Provider Course.
- Must be a U.S. citizen (for access to Gov't computer systems)
COMPENSATION & BENEFITS:
• Competitive pay
• 10 days paid time off per year plus 7 sick days per year
• 10 paid Federal holidays
• Health & Welfare allowance offsets 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 almost 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