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For members of a defined population, the nurse case manager is responsible for coordination of appropriate, cost-effective services that enhance a members quality of life, focus on a members optimal level of independence, and reduces inappropriate utilization of medical services. Essential Responsibilities: In close collaboration with the member/members family, and the multidisciplinary Health Care Team (Primary Care Physicians, Specialty Physicians, and other members of the health plan, the network and the community), assesses the members health status, functional limitations, psychological status, social support systems, resources, environmental factors, and response to treatment.
ELIGIBLE FOR $5,000 SIGN ON BONUS!Pediatric Experience Highly preferred in a hospital or outpatient setting. This position is a non-supervisory Case Management role.
Basic Qualifications:
Experience
Minimum three (3) years of clinical experience plus two (2) years of experience in case management are required. Additional years of relevant clinical experience may be substituted for the case management experience requirement
Required clinical experience must include at least one (1) year in area of specialty as follows:
Geriatric: One (1) year of recent experience with a geriatric and Medicare population is required.
Pediatric/Adolescent: One (1) year of recent experience with pediatric/adolescent population is required.
Adult: One (1) year of recent primary care experience with an adult population is required.
Perinatal: One (1) year of recent labor and delivery of predominately high-risk obstetrics is required.
Oncology: One (1) year of recent clinical oncology experience is required
Renal: One (1) year of recent nephrology nursing experience is required.
Education
Bachelors degree or four (4) years of experience in a directly related field.
High school diploma or GED required.
License, Certification, Registration
This job requires credentials from multiple states. Credentials from the primary work state are required before hire. Additional Credentials from the secondary work state(s) are required post hire.
Registered Nurse License (Virginia) within 6 months of hire AND Registered Nurse License (Maryland) within 6 months of hire
OR
Compact License: Registered Nurse within 6 months of hire
Registered Nurse License (District of Columbia) within 6 months of hire
PECOS Enrollment within 3 months of hire
Case Manager Certificate within 36 months of hire
Additional Requirements:
Experience with chronic and/or high-risk medical diseases is required, including but not limited to diabetes, CHF, COPD, asthma, Alzheimers, dementia, CVA, cystic fibrosis, cerebral palsy.
Demonstrated competence with medication management is required.
Demonstrated competence with vascular access management is required.
Preferred Qualifications:
Experience with computer software programs in a Windows environment is preferred.
Preferred clinical experience in area of specialty as follows:
Adult: Perinatal: Four (4) years of labor and delivery experience in a high-risk setting are preferred.
Renal: Two (2) years of recent dialysis nursing experience are preferred. Hospice certification preferred.
Masters degree is preferred.
Knowledge of regulatory issues for the Mid-Atlantic area is preferred.
COMPANY: KAISERTITLE: Pediatric RN Case Manager - New Carrollton Admin Bldg.LOCATION: Hyattsville, MarylandREQNUMBER: 1091181External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
Vacancy expired!