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Plans, coordinates and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Communicates changes in patient status regarding clinical, insurance, travel and transportation issues to the disease management company.
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Maintains current knowledge of disease management software and systems as pertinent. + Responsible for all patient care employees receiving appropriate training according to FMS policy, including training to ensure ongoing compliance with all FMS risk management initiatives.
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Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. + Ensures completion of new hiring orientation and training including mandatory in-services and ICD code training when applicable.
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Facilitate timely workup of patients for access management, dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination of care with the multidisciplinary renal team.
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Must complete Clinical Manager training modules and ongoing developmental programs within the specified time line. Demonstrated leadership competencies and skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management, and decision making.
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EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.
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Provides opportunities for professional growth, and training to ensure clinical competence and the ability for licensed staff to assume Team Leader responsibilities. Ensures documentation completed for annual in service training, and policy and procedure in service updates.
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Responsible for implementation of FMS staffing, and medical supply models, to provide quality patient care, and makes recommendations. Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in FMS formularies.
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Relationships:Internal Contacts: Direct Patient Care Staff, Facility support staff, management teams (Clinical Manager, Area Manager, RVP)External Contacts: Physicians, Back-up HospitalsAdditional responsibilities may include focus on one or more departments or locations.
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Responsible for addressing and acting on adverse events and action thresholds. Maintains integrity of medical records and other FMS administrative and operational records. Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of care and patient and staff safety.
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Responsible for supporting and driving FMS quality standards through meeting all ESRD regulatory requirements and the practice of Quality Assessment and Improvement (QAI), including use of FMS QAI tools.
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Responsible for overseeing performance of all licensed personnel, direct patient care staff, reporting indirect patient care personnel as assigned, and when necessary, technical staff. Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws.
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Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Participates in the completion of the FMS Administrative Clinical Review. Ensures all FMS Clinical Quality policies and procedures are communicated to and implemented by the facility staff.
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Ensure education of the patient regarding quality measures, transplant options, modality awareness, and access care, including catheter reduction and adherence to treatment regime. Responsible for maintaining and updating all FMS manuals.
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Checks correspondence whether electronic, paper or voice mail, and responds as appropriate. Responsible for participating in all required Network reporting and on-site state or federal surveys. Participates in the completion and interpretation of the Pl-17 inventory supply use analysis.
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disease management rn training jobs Title: registered nurse Company: Fresenius Medical Care
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