RN Case Manager - Mazomanie/Cross Plains/Black Earth

$131,560 - $131,560/Yr

Amergis - Fitchburg, WI

Full-time - Mid Level

Fitchburg, WI

Administrative and Support Services

About the position

The RN Case Manager is responsible for coordinating the continuum of care activities for assigned patients, ensuring optimal resource utilization, service delivery, and compliance with medical regimes. This role involves performing assessments, documenting patient information, and advocating for patients' medical needs while collaborating with healthcare providers to develop individualized care plans.

Responsibilities

• Perform and coordinate initial assessments and ongoing reassessments of the patient's status.
• Document patient case information within a database system.
• Perform chart review/audits monthly or as needed.
• Participate in monthly case conferences by providing information pertinent to patient's needs/goals.
• Partner with the Program Director in the development and review of the patient's individualized coordination of care plan.
• Ensure that the patients' medical needs are addressed; consult with the patients' physicians as needed, coordinating plans of treatment, and advocating for the patient when necessary.
• Promote understanding of the medical factors affecting the targeted population.
• Identify and assist patient(s) in accessing entitlements, resources, information, and referrals for psychosocial needs.
• Participate in Quality Assurance and Utilization Review activities, as directed.
• Empower patients in decision-making for care planning.
• Maintain accurate and timely patient information, which is readily accessible for review and meets all requirements; assist in data collection for reporting/funding sources.
• Foster intra-facility and inter-facility working relationships to help accomplish goals; act as a liaison between primary care providers, specialists, and/or patients.
• Advocate on behalf of patients regarding accessibility of services.
• Follow State/County mandated guidelines for the nurse case management programs.
• Participate in outreach activities to the entire target population, as directed.
• Recommend program/service changes to meet gaps in service in the community.
• Perform other duties as assigned/necessary.

Requirements

• Current RN licensure in state practicing.
• At least one year of Case Management experience preferred.
• Complies with all relevant professional standards of practice.
• Participation and completion of Amergis' Competency program when applicable.
• Current CPR if applicable.
• TB questionnaire, PPD or chest x-ray if applicable.
• Current Health certificate (per contract or state regulation).
• Must meet all federal, state and local requirements.
• Successful completion of new hire training as applicable to job site.
• Understand patient confidentiality and HIPAA requirements.
• Ability to effectively elicit/provide information to and from appropriate individuals via strong communication skills; proficiency in the English language is required.
• Computer proficiency required.
• Must be at least 18 years of age.

Benefits

• Competitive pay & weekly paychecks
• Health, dental, vision, and life insurance
• 401(k) savings plan
• Awards and recognition programs