Nurse Case Manager

Loyal Source; Monterey (CA); On-site; USD 75,000 - 100,000; Full time

Job summary

A healthcare staffing company is seeking a Nurse Case Manager in California. The role involves providing professional nursing care, developing treatment plans, and overseeing patient case management for Department of Defense beneficiaries. Candidates must have at least two years of nursing experience and possess a current Registered Nurse license. The position requires strong skills in consultation, negotiation, and patient education principles, alongside maintaining Basic Cardiac Life Support certification.

Qualifications

• Minimum of two years nursing experience required.
• Current, full, active, and unrestricted Registered Nurse license.
• Must maintain certification in Basic Cardiac Life Support (BCLS).

Responsibilities

• Provide a full range of professional health nursing in clinical settings.
• Develop time-sensitive treatment plans based on patient assessments.
• Oversee discharge-planning activities to ensure timely patient care.

Skills

Understanding diagnoses

Patient education principles

Consultation with healthcare providers

Negotiation for services

Feedback seeking

Education

Registered Nurse license

Case Manager certification

Job description

Responsibilities

• The Nurse Case Manager, hereafter referred to as the Case Manager, shall provide a full range of professional health nursing principles, practices, and procedures in clinical settings in order to analyze the full scope of problems associated with providing appropriate, cost effective care to Department of Defense (DOD) beneficiaries.
• The Case Manager shall collect, organize, record, and communicate data relevant to primary health assessments including a detailed medical history in order to develop time sensitive treatment plans which delineate the expected process of care delivery for selected case managed patients or populations.
• The Case Manager shall assess patient via the telephone, using established protocols, in order to provide appropriate and cost effective care.
• The Case Manager shall establish priorities for patient care monitor and evaluate progress toward the stated goals in order to provide coordinated, efficient, effective health care to its beneficiaries.
• The Case Manager shall oversee discharge‑planning activities in order to ensure ideal timing and sequencing of patient care.
• The Case Manager provides professional assistance to health care finders in order to identify patient’s needs for referrals to appropriate health care providers or facilities.
• The Case Manager shall negotiate, write, finalize, and administer product/service agreements to insure mutual compliance in meeting care goals.

Qualifications

• The contractor shall have demonstrated skill in understanding diagnoses in order to assist patients to optimize their level of function and self‑care.
• The contractor shall possess demonstrated knowledge of patient education principles and management of complex medical, psychosocial, and financial problems in order to enhance patient adherence to individualized treatment plans and train peers and staff.
• The contractor shall have a minimum of two years nursing experience and shall be certified as a case manager by a recognized certifying organization, i.e. Commission for Case Management Certification or American Nurse Credentialing Center.
• The contractor shall possess the ability to seek feedback from peers, professional colleagues, clients, and outcomes research, in order to expand clinical knowledge, enhance role performance, and increase knowledge of professional issues.
• The contractor shall have the skills to effectively consult with health care providers at all levels and negotiate with outside providers for services and products in order to obtain client services and support.
• Contractor may be required to receive and maintain clinical practice privileges.
• The contractor shall maintain credentialing requirements in good standing at a local MTF.

Experience

• The contractor shall have a minimum of two years nursing experience.

Licensure

• Licensure: Current, full, active, and unrestricted license as a Registered Nurse in one of any U.S. State, the District of Columbia, Guam, Puerto Rico or U.S. Virgin Islands.
• All HCPs shall have and maintain current certification in Basic Cardiac Life Support (BCLS) as certified by the American Heart Association. Documentation of such training shall be provided to the COR. The front and back of the BCLS shall be provided to the Credentialing Department of the MTF they are credentialed through.

Loyal Source does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non‑merit factor.

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This contractor and subcontractor abides by the requirements of 41 CFR 60-300.5(a) and 41 CFR 60-741.5(a). These regulations prohibit discrimination against qualified individuals on the basis of protected veteran status or disability, and require affirmative action by covered prime contractors.