注册护士护理导航员/案例经理- 100% 远程（紧凑州及密歇根州执照）
RN Care Navigator/Case Manager - 100% Remote (Compact State & Michigan RN licens
职位概述
注册护士，护理导航员/病例管理员将负责与肾脏健康管理相关的病例管理。护理导航员将完成整个护理过程中的相关活动，以促进患者高质量、成本效益的成果，并关注整体患者和护理协调。管理一组混合严重程度的成员，审查和/或获取成员数据并录入HealthMap的护理管理系统（Compass），完成成员健康和社会决定因素筛查，药物重整，创建和维护以成员为中心的护理计划，更新已识别的问题、障碍、干预措施和目标，并协助进行持续的病例管理。护理导航员将与内部和外部（医生、护士和其他医疗人员）合作，确保积极的患者结果和护理协调。
职责
- 处理内外部来电，为我们的会员提供世界级的服务
- 教育肾脏健康及相关合并症，以及通过教育会员了解透析和移植选项来优化肾替代治疗
- 让会员参与HealthMap的肾脏健康项目
- 根据政策的复杂性和频率对会员进行跟进
- 作为患者代言人，响应并解决其担忧或障碍
- 在护理计划中利用社区资源和项目
- 作为跨学科护理团队的一员，充当患者、患者支持网络、主治医生和其他辅助提供者之间的联络人，以协调护理、解决护理问题并帮助患者实现个性化目标
- 根据政策通知提供者已识别的患者需求
- 遵守HIPAA隐私法及其他所有联邦、州和地方法规
- 遵守公司定义的操作政策和程序
- 遵守公司的安全政策
- 对个人指标和关键绩效指标负责，并由组织确定
- 操作技术应用 - Excel、OneNote、Outlook 和 Word
- 根据业务需求支持非工作时间和不同时区
- 鼓励患者和家属自行护理并支持自我管理
要求
- 需要有效的、无限制的注册护士执照
- 需要学士学位；6年以上护士经验，包括3年以上病例管理经验
查看英文原文
Position Summary
The Registered Nurse, Care Navigator/Case manager will be responsible for case management specific to kidney health management. The Care Navigator will complete activities for the continuum of care to facilitate and promote high quality, cost-effective outcomes for patients and focus on the whole patient and care delivery coordination. Managing a set caseload of mixed acuity members, reviewing and/or obtaining member data and entry in HealthMap’s Care Management documentation system (Compass), completing member health and social determinants of health screenings, medication reconciliation, creation and maintaining member-centric care plans, updates of identified problems, barriers, interventions, and goals and assistance with ongoing case management. The Care Navigator will collaborate with internal and external (physicians, nurses, and other healthcare personnel) to assure positive patient outcomes and care coordination.
Responsibilities
- Handle in and outbound calls delivering world-class service to our members
- Educate kidney health and related co-morbid conditions as well as optimizing renal replacement therapy by educating members on the types of dialysis and transplant options
- Engage members into HealthMap’s Kidney Health Program
- Follow up with members based on complexity and cadence by policy
- Serve as patient advocate for responding and working to resolve concerns or barriers
- Utilize community resources and programs in care planning
- Serve as liaison between the patient, the patient’s support network, treating physician, and other ancillary providers as a member of an interdisciplinary care team to coordinate care, resolve nursing problems and assist patients in meeting individualized goals
- Notify providers of identified patient needs based on policy
- Comply with HIPAA privacy laws and all other federal, state, and local regulations
- Comply with company-defined operational policies and procedures
- Comply with company security policies
- Accountable for individual metrics and key performance indicators and identified by the organization
- Navigate technical applications - Excel, OneNote, Outlook, and Word
- Support after hours and various time zones based on business need
- Drive patient and families in their own care and to support self-management
Requirements
- Active, unrestricted RN license required
- Bachelor’s degree required; 6+ years of RN experience including 3+ years in case management may be considered in lieu of degree
- CCM preferred
- Three (3) years of experience in case management preferred
- Experience in a dialysis center or transplant center preferred
- Experience with Medicare and Medicaid preferred
Skills
- Advocate and energize a culture of collaboration, positivity, and motivation
- Strategic thinking and planning
- Deliver effective communication – verbal and written
- Succeed in a challenging environment with changing priorities
Travel
No Travel
Originally posted on Himalayas