Registered Nurse

Location: Robins Air Force Base, GA

Position: Registered Nurse - Case Manager

Apply: Qualified candidates should please apply by sending resume and salary/wage requirements by email to Global Consulting International; chuck.blattner@gci-usa.com

SUMMARY:  Provides case management, care coordination and discharge/disposition planning for inpatient and outpatient care settings.  Assists service members and/or veterans, family members and caregivers with receiving the most appropriate options and services to meet their complex health care needs.  This includes, but is not limited to, acute, chronic, multiple, complex, catastrophic, or life-threatening illnesses; combat stress, residuals of traumatic brain injury; community adjustment; addictions and other health problems.  Coordinates care with multiple providers across all levels and sites of care. Addresses psychosocial, as well as nursing and medical needs of patients and their families/caregivers, through participation in multidisciplinary patient care management practice.  Evaluates care and outcomes to ensure timely and appropriate provision of services.

 

1.    QUALIFICATIONS

 

1.1.       Mandatory knowledge and skills.

 

1.1.1.  Knowledge and ability to effectively apply the following core case management

functions:  a) Assessment: Identification of  patients for case management; comprehensive collection of  patient information and medical status;  and continued  evaluation of an established plan of care; b) Planning: Collaboration with the patient, family/caregiver, primary provider and other members of the health care team for developing an effective plan of care; c) Facilitation:  Care coordination and communication among all involved parties; d) Advocacy:  Support for the patient and family/caregivers to ensure identified education and appropriate, timely care is received.

 

1.1.2.  Knowledge of medical privacy and confidentiality (Health Insurance Portability and Accountability Act [HIPAA]), and accreditation standards of Accreditation Association for Ambulatory Health Care (AAAHC) and The Joint Commission (TJC).

 

1.1.3.  Working knowledge of computer applications/software to include Microsoft Office programs, MS Outlook (e-mail), and internet familiarity is required.  The ability to input, extract and format data from established databases is desired.

 

1.1.4.  Must demonstrate ability to communicate effectively both orally and in writing.

 

1.1.5.  Must be skillful and tactful in communicating with people who may be physically or mentally ill, uncooperative, fearful, emotionally distraught, and occasionally dangerous.

 

1.1.6.  Must demonstrate ability to apply critical thinking skills and expertise in resolving complicated healthcare, social, interpersonal and financial patient situations.

 

1.1.7.  Must possess organization, problem-solving and communication skills to articulate medical requirements to patients, families/care givers, medical and non-medical staff in a professional and courteous way.

 

1.1.8.  Familiarity with Department of Defense (DoD), Federal, State, non-profit healthcare systems and organizations, to include DoD Tri-Service Military Healthcare Systems, TRICARE purchased care system, Medicare, Medicaid and the Veterans Administration (VA) is desired.

 

1.1.9.  Experience with McKesson (InterQual) and/or Milliman Care Guidelines desired.

 

1.2.       Education.  Shall be a graduate of a nationally accredited Associates Degree, Diploma, or Baccalaureate Degree program in nursing.  Baccalaureate Degree is preferred. 

 

1.3.       License/certification.  Maintain an active, valid, current, and unrestricted license (with no limitations, stipulations or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction.

 

1.4.       Experience.  Shall have at least 4 years of active nursing practice, 18 months of which must be in discharge planning or clinical case management for adults, children, families, seniors or groups.  Must have worked in nursing the past 12 months.  Home Health experience desirable. 

 

1.5.       Certification.  Certification in Case Management from the American Nurses

Credentialing Center or the Commission for Case Management Certification is desired.

 

1.6.       Work Environment/Physical Requirements. Requirements include prolonged walking, standing, sitting or bending, and computer use.  Position may require patient visitation at another medical treatment facility.  May have exposure to communicable illnesses.