Care Manager RN

JOB SUMMARY

The Care Manager RN will be responsible for assessing and coordinating patient care across the continuum, utilizing accepted criteria and guidelines to manage benefits and determine medical necessity of services provided. This position will function as a clinician, case manager and educator to achieve optimal clinical and quality outcomes by effectively managing care and resources to reduce unnecessary utilization.
 

Location: Temple, TX

Setting: Case Management

Schedule: Part Time - 20 hours per week
ESSENTIAL FUNCTIONS OF THE ROLE

Assesses plans, implements, documents, coordinates, monitors, evaluates and updates the plan of care by collaborating with all members of the health care team to provide evidenced based care.

Establishes patient care management plans, interventions, treatment goals and self-management goals.

Assesses the health care, educational and psychosocial needs of the patient and family.

Assists patients with self-management through education, visits and telephonic engagement; encourages and supports patient adherence to their care plans.

Researches, evaluates and recommends resources to meet medical and non-medical needs of patients and families. Collaborates, refers and communicates across all programs to ensure appropriate coordination of services.

Researches and takes an active role in identifying problems and possible solutions in the coordination of care to determine most appropriate setting.

Acts as liaison to hospital, long-term care, specialists and home health representatives.