NURSE CASE MANAGER
United Global Group, Inc. - Madison, WI
United Global Group, Inc. - Madison, WI Nurse Case Managers provide patient-centered case management services for all eligible service members of the Military Health System. The Nurse Case Manager will work collaboratively with multidisciplinary military and civilian health care providers to coordinate and monitor and advocate care for service members.
NON-CLINICAL NURSE CASE MANAGER RESPONSIBILITIES (RN2): Provide patient-centered case management for service members as needed, with early identification of issues and interventions focused on positive outcomes. Advocate to identify care options that are acceptable to the service member that lead to increased adherence to treatment plans, and improved healthcare outcomes. Monitor care delivery to the patient across the care continuum (for example sub-acute, long-term, home health, and hospice care) and document assessments of patient progress in reaching healthcare outcome goals.
Appropriately manage all patients selected for case management across the care continuum, following military regulations, policies and procedures, as well as legal and ethical processes to ensure the patient’s clinical bio-psychosocial, safety, financial, cultural, and environmental healthcare needs are appropriately fulfilled in the timeliest manner and clinically appropriate setting.
Meet military unique mission requirements, contract case manager shall expect surges in patient caseloads to occur during or following contingency operations. Use available standardized forms, paper-based or electronic, for documentation of provision of services. Site specific logs and files may be required to keep detailed documentation. Use approved codes for all case management encounters. Coding of ambulatory case management encounters is required at military medical treatment facilities (MTF) as a method of collecting specific population healthcare data and/or case management interventions. Provide case management data and reports as requested.
CANDIDATES MUST POSSESS:
A CURRENT ACTIVE, REGISTERED NURSING LICENSE FOR THE STATE OF WISCONSIN.
Current certification by the American Heart Association’s standards in Basic Life Support for Healthcare providers.
A minimum of two (2) years’ experience within the past five years in an acute care setting, or healthcare service organization that requires skilled medical/surgical nursing interventions (e.g. medical/surgical inpatient wards or outpatient clinics, Intensive Care Units, Home Health, Hospice). Preferably includes experience with a diverse range of patient age groups.
A minimum of one (1) year managed care and/or medical management (utilization management, case management, disease management) experience preferred.
Ability to use computer systems and software (i.e., spreadsheets, charts, tables, word processing, E-Mail, etc.).
Ability to read, understand, speak, and write English fluently. Ability to express self in all areas of communication, effective listening, and questioning techniques.
The skill to deal with the public while maintaining tact, a positive approach, and confidentiality.
Experience in conducting individual assessments.
Knowledge of accreditation standards, privacy and confidentiality requirements, such as but not limited to, The Joint Commission (TJC) and Health Insurance Portability and Accountability Act (HIPAA).
Some knowledge of coding of healthcare data (i.e., International Classification of Diseases (ICD-9/10), Evaluation and Management (E&M) codes, Current Procedural Terminology (CPT) codes, etc.) National certification in a specialized area of nursing is preferred.