RN Case Manager

SUMMARY:

Performs healthcare coordination and case management activities IAW Medical Treatment Facility (MTF) instructions.

ESSENTIAL DUTIES & RESPONSIBILITIES:

• Ensures compliance with standards of care and practice (Accreditation Association for Joint Commission on Accreditation of Healthcare Organizations(JCAHO), Ambulatory Health Care (AAAHC) & Case Management Society of America (CMSA)).
• Collaborates with military and civilian healthcare providers and staff and uses Utilization Management (UM) systems support to identify high-risk/high-cost patients within MTF population.
• Determines eligibility for healthcare coordination/case management services.
• Coordinates with healthcare providers to ensure appropriate appointment alternatives, access and quality of care.
• Coordinates services for eligible patients based on subjective and objective assessment data and identified patient/family needs.
• Facilitates a multidisciplinary team to develop a treatment plan to address all identified conditions and problems.  Integrates health education, promotion and prevention activities utilizing available MTF and local civilian condition/disease management resources. Participates in the orientation, training, and evaluation of competency of newly assigned Case Management personnel.
• Attends bi-weekly and as-needed multi-disciplinary discharge planning conferences