Outpatient Case Manager (RN or LVN)
at RCM Health Care Services

Date Posted: 7/13/2018

Job Description


Outpatient Case Manager, RN or LVN

Job Summary:
 
  • Responsible for the assessment, treatment planning, intervention, monitoring, evaluation and documentation of identified High Risk patients.
  • Assess and develop a care plan in collaboration with the admitting, attending and consulting physician and other health care practitioners.
  • Effectively manage patients on an outpatient basis to assure the appropriate level-of-care is provided, to prevent inpatient re-admissions and ensure that the patients’ medical, environmental and psychosocial needs are met over the continuum of care.
  • Demonstrates the ability to formulate an appropriate outpatient care plan, based on a telephonic assessment of patients’ needs and symptoms which addresses all key symptoms in order to effectively manage the patient on an outpatient basis.
  • Documents patient assessment and reassessment, patient care plans, and other pertinent information completed in the patient’s medical record in accordance with nursing standards and policies.
  • Receives and reviews physician’s orders; documents completion. Consults with other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs.
  • Responsible for the coordination of post-discharge clinic appointments, medication reconciliation, ancillary services (DME, Home Health, etc) and PCP and specialist visits.
  • Responsible for identifying patients that are appropriate for hospice conversion or palliative care.
  • Interacts professionally with patient/family/physicians and involves patient/family/physicians in formation of the plan of care. Coordinates patient/family/physician conferences as necessary.
  • Identifies and addresses psychosocial needs of the patients and family and facilitates consultations with social worker, as necessary.
  • Functions as liaison between administration, patients, physicians and other healthcare providers.
  • Ability to collaborate and communicate with all members of the healthcare team (concurrent review, pre-authorization, PCP/SPC, Social Services) to coordinate the continuum of care of developing plans for management of each case.
  • Identifies non-compliant members eligible for healthplan disenrollment
  • Identifies drivers of hospital admissions
  • Identifies community resources to address patients’ needs.
  • Participates in the efficient, effective and responsible use of resources such as medical supplies and equipment.
  • Demonstrates the ability to follow through with requests, share critical information, and get back to individuals in a timely manner.
  • Communicates appropriately and clearly to management, co-workers, and physicians.
 
 
Qualifications:
 
  • Valid State Licensed/LVN or RN
  • Recent Case Management experience in Managed Care setting
  • Proficiency in operating computers applications, excellent interpersonal skills, verbal and written communications skills.

Compensation:

Comprehensive Benefits and Competitive Salary

Job Snapshot

About Us

RCM Health Care Services offers career defining opportunities to candidates from the leading employers in health care. Whether you’re looking for a new job or seeking to hire the best medical talent, RCM Health Care Services has the solution for you. Since 1975, we’ve established ourselves as a leader in the recruitment industry by connecting thousands of healthcare professionals with placements that support their needs. If you’re looking to make the next move in your career, let RCM be your guide, we’re with you every step of the way!

We proudly hold the Joint Commission Gold Seal of Approval.

Join the RCM Health Care Services Talent Network today and stay up-to-date on our openings as they continue to become available!

What is a Talent Network?

Talent Networks enhance your job search and application process. Whether you choose to apply or just leave your information, we look forward to staying connected with you.

Why Join?

  • Receive alerts with new job opportunities that match your interests
  • Share job opportunities through Social Media or email

Are you looking for a new job? Check out these current opportunities: Allied and Therapy Staffing Jobs, Case Management Jobs, HIM & Non Clinical Jobs, Nursing Roles Jobs and Physician and Advanced Practice Jobs