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The "Telephonic" Nurse Case Manager II is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum.
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Telephonic" Nurse Case Manager II Location: This is a virtual position. Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.
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Coordinates with TPMG to provide for the seamless transition of patients across the continuum of care. With TPMG partner, directs development and implementation of quality and utilization standards across the continuum of care to ensure coordinated plans of treatment, patient focused delivery of services and cost effective utilization of necessary services.
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Key responsibilities of the role include providing age appropriate, patient specific care that addresses the biological, emotional, psychological, physical fitness, and educational needs of the patients/family; collaboration with system care partners such as cardiologists, health psychology, diabetes education, and other wellness programs to ensure patients have access to all areas in the continuum of care.
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As the Senior Living Program Manager, you will be a dynamic influencer managing solutions for communities and their residents throughout our unique continuum of care in Senior Living in Delaware County and New Castle Counties, DE.
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Our large health system consists of ambulatory centers, acute care centers, post-acute care/long-term care, rehabilitation programs, Home Care, and Correctional Health Services.
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Keywords: Director of Nursing, DON, Assistant Director of Nursing, ADON, Nurse Executive, Charge Nurse, Nurse Manager, RN, Registered Nurse, Director of Nursing Service, Healthcare, Home Care, Rehab, Rehabilitation, SNF, Geriatric, Nurse, Nursing Staff, Skilled Nursing Facility, Ventilators, Tracheostomy, Home Health Agency, Primary Care Clinic, Health Facility.
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As a rehab nurse you will be a part of a dedicated interdisciplinary team comprised of physiatrist, physical therapist, occupational therapist, speech therapist, therapeutic recreation specialist, dietician, nurse case manager and social worker.
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Coordinates with interdisciplinary care team, physicians, patients, families, post-acute providers, payors, and others in the planning of the patients’ care throughout the care continuum.
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Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Qualifications Education Graduate of an accredited program required for RN. BSN preferred; or MSW/BSW with licensure as required by state regulations Licenses/Certification Healthcare professional licensure required as Registered Nurse, or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations.
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2-3 years of prior healthcare experience in areas such as medical assistant, certified nursing assistant, EMT/paramedic, clinical laboratory scientist registered nurse, or similar health care related roles (required.
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Care is provided throughout the entire continuum of care – from chronic care and urgent care in the home, to hospital, to skilled nursing facility, to assisted living, to palliative care, to end of life care.
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As part of Catholic Charities New Hampshire, we are committed to delivering exceptional care across the continuum. Compliance: Maintain confidentiality of resident-related care information to uphold HIPAA compliance.
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Knowledge of federally qualified health centers, population health, care continuum, value-based care, managed care contracting and strategy, and population-based quality programs.
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Case management nurse, case management RN, case manager nurse, case manager RN, CM RN, healthcare, health care, registered nurse, RN, R.N., nurse, nursing.
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nurse manager continuum of care jobs Title: emergency department Company: Health Ecareers in Arlington, Texas
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