Navvis
  • 13-Oct-2017 to 12-Dec-2017 (CST)
  • Operations
  • St. Louis, MO, USA
  • Hourly
  • Other

About Us:

Navvis, the healthcare growth and diversification company, is leading the charge to partner with organizations across America to transform healthcare. Our approach is totally different in that it enables volume-based growth through value-based performance, unlocking economic strength to drive transformation. We combine the right strategies with operational excellence, supported by an integrated technology platform, that creates a growth services organization for our partners in healthcare. We design, build, and manage uniquely deployed payment models, care delivery transformation systems, and physician alignment strategies, helping our healthcare partners deliver on their missions, expand their margins, and thrive in their markets.  www.navvishealthcare.com

Position Summary:

The PRN Case Manager, will be responsible for working with patients and their physicians in the delivery of care management consistent with Client-approved Care Pathways. The Case Manager will assess the patient's needs, educate them about their care, facilitate resources to optimize health, and support the physician care plan. The Case Manager will coordinate with the patient caregiver via phone to ensure all physician appointments are made and kept, outpatient therapy is completed, lab/diagnostic testing, medication reconciliation is performed per the protocol and the physician's care plan through the episode. The Case Manager will be accountable for ensuring efficient and effective care transition for patients and families across the care continuum. Works closely with the PAC Network Administrator to ensure appropriate and timely patient placement in the post-acute care setting.

Position Responsibilities:

  • Conducts an assessment of patient and family needs and ensures patient/caregiver has a primary role in discharge planning.
  • Serves as the clinical bridge between the professional staff of Hospital/Health System, the patient, and the post-acute care setting or the community.
  • Coordinates and expedites patient discharge planning initiatives from the day of admission through the day of discharge.
  • Performs duties to mitigate readmissions - medication, reconciliation, follow up appointments, sign and symptoms education and self management.
  • Conducts medication reviews and gathers information about medicate adherence.
  • Consults with medical providers regarding patient concerns.
  • Serves as a patient advocate.
  • Performs patient education about treatment, self management and medications.
  • Prepares an approved care plan in partnership with the treating physician.
  • Mobilizes resources to achieve expected clinical outcomes within the desired timeframe.
  • Documents completed tasks and progress notes in care management system.
  • Serves in multiple care settings.
  • Other duties as assigned.

Preferred Qualifications:

  • MUST HAVE Current Florida state RN license.
  • 3+ years of acute care experience.
  • Ability to work on a PRN schedule, typically a few days per month and the occassional holiday.
  • Experience with assessment and treatment planning for common chronic diseases.
  • Ability to maintain effective and professional relationships with patient and other members of the care team.
  • Knowledge of state and federal rules, regulations and accrediting bodies.
  • Ability to effectively engage patients in a therapeutic relationship.
  • Working ability with Word processing and other PC applications, including Microsoft Word, Excel and PowerPoint.
  • Strong verbal and written communication skills.
  • Ambulatory care experience is a plus.
  • Knowlege of population health is a plus.
  • Must be highly collaborative.

Degrees/Licensures:

  • Bachelor's degree in nursing or a AA or Diploma with 3+ years of Population Management/clinical care experience.
  • Current Florida state RN licensure.
  • CCM certification is a plus.
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