RN Case Manager – Patient Services

Posted Sep 08, 2020 Jacksonville, Florida

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Application Due Sep 30, 2020

Description

Working under the Director of Patient Services, provide efficient, effective, and appropriate support for referral request review and authorization; support for care plans for patients with complex conditions; and use clinical training / experience to assist the team in its work to connect uninsured patients to compassionate specialty care and advanced diagnostics

Essential duties and responsibilities

• Triage and assess incoming referrals for specialty health care, reviewing patient information, progress notes, and referral packets for completeness before authorizing for the scheduling team • Advise the Patient Services Team about protocols, conditions, and patient support as questions about care plans arise, including prioritization of referrals for patients with multiple system involvement or complex cases • Initiate/maintain relationships to achieve efficient, effective results for uninsured, low-income patients in Duval County, specifically with all of WeCareJax’s free and charitable clinic referral partners • Maintain data and outcomes on patients through WeCareJax electronic medical records database and/or other tools to measure program outcomes • For patients with complex conditions or with treatment plans requiring significant care coordination, serve as resource for managing transitions of care and for removing barriers to care to ensure improved health outcomes • Assess requests for referral from WeCareJax primary care clinic network partners, area hospitals, discharge planners and social services: • Evaluate requests for compassionate care for completeness, including required labs and imaging to support approval of the case by a volunteer specialty care provider or health system • Maintain effective and professional communication with clinic partners and their providers to ensure timely, efficient support of patient care • Document all steps of the process in the electronic medical record and ensure completeness of each referral for operational and quality reporting • Work with the Patient Services Team to support case planning and troubleshooting • Incorporate knowledge of mortality, morbidity, and established standards of evidence-based practice associated with a wide breadth of conditions (urgent / emergent, chronic, and acute) • For patients with complex conditions and care plans, serve as primary resource to patient, family members, health care providers and their support staff for questions and concerns related to the care plan and navigating transitions of care • Perform other duties as assigned

Qualifications

• Licensure/registration/certification requirements: RN unrestricted licensure in the State of Florida • Self-starter with ability to function independently while supporting internal team and patient outcomes • Knowledge of data entry and database utilization, specifically electronic health records; familiarity with Athena a plus • Competency with Microsoft Office Suite (specifically Outlook, Excel and Word) • Strong desire to enhance patient and community knowledge of health issues and to work with uninsured patients living at 200% or below the Federal Poverty Level, including patients who are housing insecure or experiencing homelessness • Bilingual preferred (Spanish or Kreyòl Ayisyen a plus)

Education and Experience

• Education: minimum - Bachelor’s Degree in Nursing • Five (5) years direct nursing experience (preferred experience in a hospital or specialty provider office) Additional Information: - Due to COVID-19, remote/home office with high-speed internet required - Full-time position, with coverage 9 AM to 5 PM, Monday – Friday at a minimum; additional hours to support patient needs occasionally required - Benefits include health and life insurance for the employee, with vision, dental, and other support available for employees and dependents. - Paid vacation, sick leave, and ten (10) holidays per year WeCareJax is committed to equal-employment principles and to maintaining a respectful, courteous work environment free of unlawful discrimination and harassment, and we are committed to taking all reasonable steps to prevent it and address it. We will not tolerate harassment relating to any characteristic protected under applicable law by any worksite employee, contractor, vendor, customer, or visitor. Protected characteristics include age, race, color, national origin, gender (including pregnancy, childbirth or medical condition related to pregnancy or childbirth), gender identity or expression, sexual orientation, religion, physical or mental disability, medical condition, genetic information, marital status, veteran status, military status, or any other characteristic protected by federal, state, or local law.

Salary/Salary Range

$26 - $29 per hour/FTE

Company/Organization

We Care Jacksonville, Inc.

https://wecarejacksonville.org/

Contact

Angela Strain | Email