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The Integrated case Manager for Population Health is an interdependent member of the patient-centered care team or treatment team responsible for the collaborative practice of assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individual’s and family’s comprehensive health care needs though communication and available resources to promote patient safety, quality of care and cost-effective outcomes.
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The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to self-determination.
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Under the supervision of the PRCIN Care Coordination Supervisor, the CCS is responsible for providing care coordination services to moderate and high risk patients ensuring safe and effective transitions across the health care continuum to include the ambulatory care setting, hospital, home environment, and skilled nursing facilities.
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Experience in coordination of patient care and resources for a caseload of patients across the continuum of care and through care transitions; Able to provide patient and family education pertinent to a wide range of conditions and health factors.
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Demonstrates primary nursing accountability through coordination, communication and continuity of patient care. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum.
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Description In collaboration with the patient/family, physicians and interdisciplinary team, the Case Management Coordinator ensures patient progression through the continuum of care in an efficient and cost effective manner.
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The Ambulatory Nurse I New to Practice/Apprentice works closely with the interprofessional health care team to facilitate the coordination of care across the continuum. The Ambulatory Nurse I New to Practice/Apprentice is accountable for the provision of direct care to patients who may range in age from infancy to the elderly and demonstrates within the competency domains of Continuous Quality Improvement, Evidence Based Practice and Research, Leadership, Person and Family Centered Care, Professionalism, Safety, Teamwork, and Technology/ Informatics (Definitions listed below.
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The RN Care Manager is responsible for providing assessments, planning, interventions and follow-up for patients and family members at Shriners Children's across the continuum of care.
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The psychologist will deliver comprehensive, evidence-based psychotherapeutic interventions; contribute to care coordination across disciplines; and provide education and psychological support to patients, their parent(s), and loved ones across the continuum of cancer care.
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Provides coordination of the continuum of care beginning before surgery, including Preadmission Testing, Peri-op Services, inpatient units, and post-acute. The Navigator is responsible for developing, coordinating, and maintaining the care continuum for patient populations with high readmission rates, including orthopedic, CHF, and Pneumonia.
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Key services include but are not limited to: brief psychosocial assessment, brief drug and alcohol assessment, crisis intervention, hold assessment, supportive counseling, ED diversion, care coordination and communication with medical team, family, referents, access workers and other community-based providers, and transitions of care/ discharge planning.
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Case Manager RN Summary: Responsible for the overall coordination of the patient's plan of care and the resources utilized for the patient's stay. Assesses, plans, implements, coordinates, monitors, and evaluates options and services to meet an individual's health needs throughout the continuum of care.
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Position Summary/MissionCommunity Care Case Manager use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality, cost effective outcomes.
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The Hospital Case Manager RN is responsible for high quality cross continuum care coordination. This individual works with physicians/APP, peers, community colleagues, and others to orchestrate care across the health care continuum, to identify opportunities to continually improve patient care and services, to improve population health, and to achieve collaborative practices that exemplify MultiCare Health System’s commitment to patient centered care and community engagement.
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This RN Leadership position collaborates with the clinical team, staff, and leaders to promote a patient-centric culture across the continuum of care at UT Southwestern (UTSW) aligning with the organization's mission and strategic objectives to provide a healthy environment for patients, visitors, and the community.
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