Catastrophic Nurse Case Manager - Hawaii Join to apply for the Catastrophic Nurse Case Manager - Hawaii role at SCM Associates, Inc.
The Case Manager has the responsibility to identify, assess, plan, coordinate, implement, monitor, and evaluate options and services for individuals requiring case management services. The goal of the case manager is to provide for quality, cost-effective outcomes for the client through collaboration and communication with the client, the family, the physician, and other members of the health care team. Apply now on our website: https://scmassociates.org/careers/
Responsibilities include the following:
Processes the case utilizing client’s outcome management model and tools
Obtains written authorization for case management services as well as release of information
Assesses the client/family to identify their strengths and resources; problems; psychosocial, financial, and medical history; current status; diagnosis; prognosis; functional status; goals; current treatment plan; and needs
Develops a plan of care with client\u2019s model through interdisciplinary collaboration, which identifies realistic short- and long-term goals
Identifies, secures, and coordinates the services and resources to implement the plan
Monitors services being provided for continued appropriateness and reports to client and insurance carrier
Evaluates the client’s progress, the plan, and the appropriateness of the services provided, with modifications as necessary
Provides ongoing instruction to the client and family regarding the injury/disease process, treatment options, and present care
Promotes the client’s/family’s self-advocacy skills to achieve maximum self-sufficiency
Has knowledge of the benefit package as well as all available funding sources and systems of care and coordinates with the payer for authorization of payment
Provides for in-depth reporting of outcomes encompassing clinical, functional, financial, and customer satisfaction areas
Demonstrates effective, accurate, and timely verbal and written communication in all work situations
Identifies and discloses all situations which might result in exposure to legal liability and/or are indicative of poor quality care negatively affecting the client
Frequently requires travel to patient appointments
Performs other related duties as assigned in accordance with the necessary job function
Qualifications
Education and/or Experience:
BSN preferred
CCM or equivalent certification
Three years or more of related experience and/or training or equivalent combination of education and experience
Seniority level Mid-Senior level
Employment type Full-time
Job function Health Care Provider
Industries Hospitals and Health Care
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