Travel Nurse RN - Case Management
Fort Defiance, AZ
Wellspring Nurse Source
4x9 hrs, Days

Job Title: Case Manager Registered Nurse (RN)**

A Case Manager Registered Nurse (RN) coordinates and manages the care of patients, ensuring they receive appropriate, cost-effective, and timely healthcare services. Case managers work across various healthcare settings, including hospitals, outpatient facilities, and home care, to facilitate patient care transitions, advocate for patients, and collaborate with multidisciplinary teams to promote optimal outcomes.

Key Responsibilities:

• Conduct comprehensive assessments of patients’ medical, psychosocial, and financial needs to develop individualized care plans.
• Coordinate and facilitate care across multiple healthcare settings, ensuring continuity of care, appropriate utilization of resources, and adherence to treatment plans.
• Collaborate with physicians, healthcare providers, and insurance companies to authorize treatments, secure necessary services, and ensure compliance with clinical guidelines.
• Evaluate patient progress, monitor outcomes, and adjust care plans based on patients’ evolving needs and goals.
• Educate patients, families, and caregivers on disease management, treatment options, and available resources to support recovery and self-care.
• Advocate for patients to ensure they receive appropriate services and that care is delivered efficiently and effectively.
• Facilitate communication among healthcare providers, patients, and insurance companies to resolve barriers to care.
• Assist patients with obtaining necessary medical equipment, medications, and follow-up care to ensure successful transitions post-discharge.
• Track healthcare costs, utilization of services, and outcomes, contributing to cost containment strategies and improved care delivery.
• Monitor and ensure compliance with healthcare regulations, insurance policies, and external mandates related to case management.
• Participate in quality improvement initiatives, utilizing evidence-based practices to enhance patient care.
• Provide guidance and support to patients and families navigating complex healthcare systems.

Qualifications:

• Education: Bachelor of Science in Nursing (BSN) preferred; Associate Degree in Nursing (ADN) accepted.
• Licensure:
  • Valid Registered Nurse (RN) license in the state of practice.
• Certification:
  • Case Management certification (CCM) preferred.
  • Basic Life Support (BLS) certification required.
• Experience: Previous experience in case management, care coordination, or clinical nursing, particularly in medical-surgical, home health, or specialized units