Client needs an RN in the area or close enough for an easy move with case management experience and certification.
Search For: RN, Case Manager, Case Management.

Relocation               No
Location                  Salem NH

Job Summary:
Through early intervention, the Case Manager will apply the six essential activities of Case Management to assure achievement of an individual’s maximum level of wellness.  Via appropriate, quality, cost-effective alternative care delivery, the Case Manager will explore community resources and alternative funding in order to maximize health care benefit.  The Case Manager will assist an individual to self-direct and self-advocate thus assurance of an informed and empowered healthcare consumer.

Essential Duties and Responsibilities:
.       Acts as an advocate and approaches clientele, according to his/her level of wellness, handicap, or injury with alternatives which may improve his/her quality of life.
.       Ethically engages in the six essential activities of the Case Management process in order to assess, plan, implement, coordinate, monitor and evaluate health care delivery.
.       Applies six components of case management to each of the five core areas: coordination/service delivery, physical/psychological factors, benefit systems and cost analysis, case management concepts and community resources.
.       Practices case management within the full continuum of care encompassing multiple environments.
.       Interacts with all healthcare systems and continues involvement with all participants to deal with an individual’s broad spectrum of need.
.       Applies CMSA standards of practice to an individual’s holistic, healthcare, occupational, psychosocial, cultural and financial need.
.       Composes confidential, timely, report mechanisms that clearly document goals, objectives, outcomes and cost benefit analysis.
.       Acts as a resource to Utilization Review, Behavioral Health, Disability and Case Management team members, committees, clientele and personnel.

Education and/or Experience:
.       RN Degree or Diploma :current  NH/PA license, RN licensure within state of case management practice
.       3 years medical, surgical clinical experience: 3-5 years case management or disease management experience. Case Management certification

Knowledge and skills:
.       Excellent written/oral/communication skills.
.        Intermediate Word, Excel computer skills.
.       Demonstrated success as a case manager with basic Utilization Review skills, Managed Care Software knowledge.
.       Knowledge of the insurance industry, benefits coverage and claims processing.
.       Ability to apply the six components to the five core areas of the case management process.
.       Knowledge of case management principals, clinical guidelines, and CMSA standards.
.       Ability to prioritize caseload, combining comprehensive nursing knowledge and skill with cost savings methodology and technique.
.       Knowledge of health care providers, alternative funding and community resources; ability to prioritize and utilize them efficiently within the benefit plan.
.       In depth knowledge of nursing care plans/skill and ability to facilitate and coordinate transition of patients with catastrophic
injuries/illnesses through cost effective, medically appropriate, alternative levels of care.
.       Actively serves on an committee.
.       Participates in in-service/provider education.
.       Maintains membership and activity in a professional affiliation, i.e. Case Management Society of America, Case Management Society of New England, ANA in order to promote professional development within the industry.

Requirements:
1.  RN Degree or Diploma.
2.  Current RN licensure.
3.  3+ years medical, surgical clinical experience.
4.  3+ years case management or disease management experience.
5.  Case Management certification