Nurse Casemanager
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Nurse Casemanager
Ref No.: 17-00834
Location: Atlanta, Georgia
Position Type:Contract
Start Date: 03/02/2017
General Information
Profile ID: F00035_17600 Nurse Casemanager Profile Status: Active
Profile type: JOB Job Status Date: 10/10/2014


Population Served
Content Item ID Description Yes No
POP01 Bariatric Population: BMI > 40 or > 35 with Weight Related Co-Morbidities þ ̈
       
POP02 Population with Exceptional Communication Needs þ ̈
       
POP03 Population with Development Delays þ ̈
       
POP04 Population under Isolation Precautions þ ̈
       
Age of Population Served    
Content Item ID Description Yes No
AGE01 Neonate (Birth to 28 Days) þ ̈
       
AGE02 Infant (29 Days to < 1 Year) þ ̈
       
AGE03 Children (1 to 12 Years) þ ̈
       
AGE04 Adolescent (13 to 17 Years) þ ̈
       
AGE05 Adult (18 to 64 Years) þ ̈
       
AGE06 Geriatric (65 + Years) þ ̈
       

Job Summary

Description

The Nurse Case Manager collaborates with other members of the case management and health care teams, utilizing professional nursing skills to: assist the patient in achieving optimal health; assure appropriate use of health care resources in accordance with utilization management standards and medical necessity review; facilitate/coordinate timely care along the continuum; decrease unnecessary variances in care through proactive case management; develop a safe and timely discharge plan to meet the patient's needs.


Job Responsibilities

Description

Screens assigned population against established criteria during pre-admission/visit, at admission/visit, or post-admission/visit.

Evaluates cost of care against benefits to patient safety, clinical quality, risk, and patient satisfaction and provides recommendations to health care team.

Acquires and maintains knowledge and competence related to expectations of position and practices within professional scope.

Assesses all patients in assigned population and develops the discharge plan.

Collaborates on preparation of an individualized treatment plan with specific short and long term case management goals, consistent with anticipated LOS, treatment, and medical necessity using assessment findings.

Implements appropriate referrals to meet the patient's needs based on assessment findings.

Facilitates completion of appropriate documents pertaining to discharge planning and ensures follow-up for care transition.

Coordinates with case management partners/health care team to facilitate management of patient care per plan, assuring smooth, timely transition between sites of care.



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Description

Monitors the plan of care to ensure progression through the continuum to prevent delays and revises discharge plan as needed.

Identifies, tracks, and trends variances in care.

Evaluates resource consumption related to expected outcomes.


Education

Description

Required:

Bachelor's Degree is required, preferably in Nursing.

Preferred:


Experience

Description

Required:

Minimum of three years of direct nursing experience and demonstrated clinical competence is required.

Preferred:

Experience in Case Management is preferred.

Skills/Cert/Licenses

Description

Required:
  • Current Georgia Registered Nurse (RN) license is required.
  • Current Basic Life Support (BLS) certification is required.

Preferred:


ADA Competency Requirements
Content Item ID Description N/A 0% - 33% 34% - 66% 67% +
1000 Chemical Hazards ̈ ̈ þ ̈
           
1001 Dust/Mites Hazards ̈ þ ̈ ̈
           
1002 Electrical Hazards ̈ þ ̈ ̈
           
1003 Extreme Cold ̈ þ ̈ ̈
           
1004 Extreme Heat ̈ þ ̈ ̈
           
1005 Extreme Noise ̈ þ ̈ ̈
           
1006 Extreme Swings in Temp ̈ þ ̈ ̈
           
1007 Fume/Odor Hazards ̈ ̈ þ ̈
           
1008 Heights ̈ þ ̈ ̈
           
1009 Mechanical Hazards ̈ þ ̈ ̈
           
1010 Radiation Hazards ̈ þ ̈ ̈
           
1011 Toxic Waste Hazards ̈ þ ̈ ̈
           
1012 Wet Hazards ̈ þ ̈ ̈
           



Page 2 of 5
Content Item ID Description N/A 0% - 33% 34% - 66% 67% +
1013 Working below ground þ ̈ ̈ ̈
           
1014 Working Indoors ̈ ̈ ̈ þ
           
1015 Work on ladders or scaffolding þ ̈ ̈ ̈
           
1016 Working Outdoors þ ̈ ̈ ̈
           
1017 AbilityToHear-With/Without aid ̈ ̈ ̈ þ
           
1018 AbilityToSee-With/Without aid ̈ ̈ ̈ þ
           
1019 Balancing ̈ ̈ ̈ þ
           
1020 Climbing ladders þ ̈ ̈ ̈
           
1021 Climbing stairs ̈ þ ̈ ̈
           
1022 Crawling þ ̈ ̈ ̈
           
1023 Depth perception needed þ ̈ ̈ ̈
           
1024 Dual simultaneous grasping ̈ ̈ þ ̈
           
1025 Heavy carrying 45 lbs or over ̈ þ ̈ ̈
           
1026 Heavy lifting 45 lbs or over ̈ þ ̈ ̈
           
1027 Kneeling ̈ þ ̈ ̈
           
1028 Light carrying under 15 lbs. ̈ ̈ ̈ þ
           
1029 Light Lifting under 15 lbs. ̈ ̈ ̈ þ
           
1030 Moderate carrying 15-44 lbs. ̈ þ ̈ ̈
           
1031 Moderate lifting 15-44 lbs. ̈ þ ̈ ̈
           
1032 Pulling hand over hand ̈ þ ̈ ̈
           
1033 Pushing ̈ þ ̈ ̈
           
1034 Reaching above shoulder ̈ þ ̈ ̈
           
1035 Repeated bending ̈ þ ̈ ̈
           
1036 Repeated motion ̈ ̈ ̈ þ
           
1037 Simple grasping ̈ ̈ ̈ þ
           
1038 Sitting ̈ ̈ þ ̈
           
1039 Standing ̈ ̈ þ ̈
           
1040 Stooping ̈ þ ̈ ̈
           
1041 Straight pulling ̈ þ ̈ ̈
           
1042 Twisting ̈ þ ̈ ̈
           
1043 Walking ̈ ̈ þ ̈
           
1044 Ability to adapt to change ̈ ̈ ̈ þ
           
1045 Ability to count ̈ ̈ ̈ þ
           
1046 Ability to read ̈ ̈ ̈ þ
           
1047 Ability to write ̈ ̈ ̈ þ
           
 




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Content Item ID   Description N/A 0% - 33% 34% - 66% 67% +
1048     Analyzing info/data ̈ ̈ ̈ þ
               
1049     Called into work unanticipated ̈ þ ̈ ̈
               
1050     Conflicting demands/priorities ̈ ̈ ̈ þ
               
1051     Decision making-complex ̈ ̈ ̈ þ
               
1052     Decision making-simple ̈ ̈ ̈ þ
               
1053     Handling multiple assignments ̈ ̈ ̈ þ
               
1054     Identify colors ̈ ̈ ̈ þ
               
1055     Operate motor vehicle equipmnt þ ̈ ̈ ̈
               
1056     Operating office equipment ̈ ̈ ̈ þ
               
1057     Perform ACLS/ BCLS/ PALS ̈ þ ̈ ̈
               
1058     Planning complex ̈ ̈ ̈ þ
               
1059     Planning-simple ̈ ̈ ̈ þ
               
1060     Talking ̈ ̈ ̈ þ
               
1061     Travel: plane/car/van/bus ̈ þ ̈ ̈
               
1062     Work at GHS facility þ ̈ ̈ ̈
               
1063     Work cooperatively with others ̈ ̈ ̈ þ
               
1064     Working alone þ ̈ ̈ ̈
               
1065     Working closely with others ̈ ̈ ̈ þ
               
1066     Working regular schedule ̈ ̈ ̈ þ
               
1067     Working scheduled overtime ̈ þ ̈ ̈
               
1068     Working under time constraints ̈ ̈ ̈ þ
               
1069     Working unscheduled overtime ̈ þ ̈ ̈
               
1070     Work w/ frustrating situations ̈ ̈ ̈ þ
               
1071     Work w/ high stress situations ̈ ̈ ̈ þ
               
1072     Works on-call ̈ þ ̈ ̈
               
DDI Category            
Content Item ID   Description        
NA CAT   Nursing Assessment