Sigma Health
Title: Registered Nurse Case Manager (Remote) Location: 1700 American blvd. Pennington NJ 08534. Shift : Days 5X8-40hrs/week. Duration: 26 weeks
Requires an associate's or bachelor's degree (or higher) in nursing and/or a health related field OR accredited diploma nursing school. Requires a minimum of two (2) years clinical experience Requires minimum of three (3) years experience in the healthcare delivery system/industry. Requires minimum of two (2) years experience with healthcare payer experience Skills: Critical care experience with a strong understanding of acute care environments. Experience in Level I or Level II trauma centers, including emergency room and ICU settings. Knowledge of geriatrics, pediatrics, behavioral health, infectious disease care, and medical-surgical nursing. Proficient in case management principles including diagnostic evaluation and discharge planning. Familiarity with managed care processes and patient service excellence. Strong understanding of medical terminology, physiology knowledge, vital signs monitoring, and intake procedures. Experience with outpatient clinic operations and post-acute care services is advantageous. Excellent communication skills to effectively liaise between patients, families, and healthcare teams. Join our team as a Registered Nurse Case Manager where you can make a significant impact on patient lives while advancing your career in a supportive environment.
Conduct comprehensive patient assessments to determine healthcare needs and develop individualized care plans. Coordinate and manage patient care across various settings, including inpatient, outpatient, and post-acute care. Collaborate with interdisciplinary teams to ensure continuity of care and optimal patient outcomes. Monitor patient progress and adjust care plans as necessary based on clinical evaluations. Facilitate discharge planning, ensuring patients have the resources needed for successful transitions. Maintain accurate medical records in compliance with HIPAA regulations and organizational policies. Provide education to patients and families regarding treatment options, medication management, and health maintenance. Participate in utilization management activities to optimize resource use while delivering high-quality care.
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