Nurse Case Manager
General Dynamics Health Solutions/ ARMA has an opening supporting the DOD POTFF Program: The Nurse Case Manager, hereafter referred to as the Case Manager, shall provide a full range of professional health nursing principles, practices, and procedures in clinical settings in order to analyze the full scope of problems associated with providing appropriate, cost effective care to Department of Defense (DOD) beneficiaries. The Nurse Case Manager shall collect, organize, record, and communicate data relevant to primary health assessments including a detailed medical history in order to develop time sensitive treatment plans which delineate the expected process of care delivery for selected case managed patients or populations. The Nurse Case Manager shall assess patients via the telephone, using established protocols, in order to provide appropriate and cost effective care. The Nurse Case Manager shall establish priorities for patient care monitor and evaluate progress toward the stated goals in order to provide coordinated, efficient, effective health care to its beneficiaries. The Nurse Case Manager shall oversee discharge-planning activities in order to ensure ideal timing and sequencing of patient care. The Nurse Case Manager provides professional assistance to health care finders in order to identify patient’s needs for referrals to appropriate health care providers or facilities. The Nurse Case Manager shall negotiate, write, finalize, and administer product/service agreements to insure mutual compliance in meeting care goals. Education
- Associates (AA/AS) in Nursing, Bachelors (BSN) in Nursing highly desiredCertified as a case manager by a recognized certifying organization
- SECRET ClearanceThe contractor shall have demonstrated skill in making diagnoses and in choosing, initiating, and modifying selected therapies in order to assist patients to optimize their level of function and self-care. The contractor shall possess demonstrated knowledge of patient education principles and management of complex medical, psychosocial, and financial problems in order to enhance patient adherence to individualized treatment plans and train peers and staff. The contractor shall have a minimum of two (2) years nursing experience and shall be certified as a case manager by a recognized certifying organization, i.e. Commission for Case Management, Certification or American Nurse Credentialing Center.The contractor shall possess the ability to seek feedback from peers, professional colleagues, clients, and outcomes research, in order to expand clinical knowledge, enhance role performance, and increase knowledge of professional issues. The contractor shall have the skills to effectively consult with health care providers at all levels and negotiate with outside providers for services and products in order to obtain client services and support. Contractor may be required to receive and maintain clinical practice privileges.The contractor shall possess the following skills and attributes:• Skill in team coordination, facilitation, and communication in order to facilitate the exchange of information/ education, enhance goal achievement; augment abilities of client support network, and effect change in system or policy at any level.• Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential quality and risk management issues in order to improve practice, and ensure compliance. Knowledge of local, state, and federal laws and regulations, professional code of ethics, and practice standards in order to ensure adherence within legal and professional parameters.•Oral and written communication skills in order to meaningfully interact with peers, outside agencies, vendors, providers, and Military Health System (MHS) stakeholders to exchange information, provide briefings, presentations, research, and metrics to demonstrate or advance effective, efficient case management practice, outcomes, and organizational/MHS value.