Position Purpose: Nurse Case Manager who is responsible for coordinating the continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery and compliance with medical regime.
Responsibilities:
+ Performs and coordinates the initial assessments and ongoing reassessments of the patient's status.
+ Documents patient case information within a database system.
+ Performs chart review/audits monthly or as needed.
+ Participates in monthly case conferences by providing information pertinent to patient’s needs/ goals.
+ Partners with the Program Director in development and review of the patient’s individualized coordination of care plan.
+ Ensures that the patients’ medical needs are addressed; consults with the patients’ physicians as needed, coordinating plans of treatment, and advocating for the patient when necessary.
+ Promotes understanding of t...