Registered Nurse - Case Manager (2823) - (US-FL-Pensacola - 32592)

Minimum Education: Associate
Jobcode: 26067975
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STG International is a energetic team of vibrant people who strive to make a powerful impact on the world. STG International, Inc is dedicated to providing high-quality professional services to the government and private sector clients. STG International is currently recruiting for a FT Registered Nurse Case Manager to provide support at the Naval Hospital Pensacola, FL. Duties/Responsibilities: 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, Utilization Review Accreditation Commission, (URAC), Case Management Society of America (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. Note: This field is limited to 2,000 characters. The rest of this position description will be found at the beginning of the qualifications field.
Oversee MTF 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 indicate