KBRwyle Nurse Case Manager (Pendleton, CA) in San Diego, California
Nurse Case Manager (Pendleton, CA)
The Nurse Case Manager will provide a full range of professional health nursing principles, practices, and procedures in clinical settings in order to analyze the full scope of problems associated with providing appropriate, cost effective care to Department of Defense (DOD) beneficiaries. Essential Duties & Responsibilities:
Collect, organize, record, and communicate data relevant to primary health assessments including a detailed medical history in order to develop time sensitive treatment plans which delineate the expected process of care delivery for selected case managed patients or populations.
Assess patient via the telephone, using established protocols, in order to provide appropriate and cost effective care.
Establish priorities for patient care monitor and evaluate progress toward the stated goals in order to provide coordinated, efficient, effective health care to its beneficiaries.
Oversee discharge-planning activities in order to ensure ideal timing and sequencing of patient care.
Provide professional assistance to health care finders in order to identify patient’s needs for referrals to appropriate health care providers or facilities.
Negotiate, write, finalize, and administer product/service agreements to insure mutual compliance in meeting care goals.
Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential quality and risk management issues in order to improve practice, and ensure compliance.
Knowledge and skills in the use of VA/DOD Clinical Practice Guidelines in order to ensure an evidence based standardized process of care to military beneficiaries.
Knowledge of the healthcare financial environment and the fiscal dimension of population health in order to ensure optimal stewardship of resources.
Skill in use of research tools in order to critically evaluate existing practices, opportunities, and outcomes.
Skill in management of information systems and technology in order to manage individual or population health, continuously improve practice, and effectively communicate practice outcomes to involved stakeholders.
Knowledge of computers and software applications in order to conduct data collection, tracking, rending, and analysis.
Ability to design and present computer-generated outcome analysis information in order to provide timely, effective peer and higher level educational programs or project briefings.
Knowledge of pharmaceuticals, their desired effects, side effects, and complications of their use in order to gauge their effect on patients and their recovery. Required Education/Experience:
Current RN license with a minimum of two years nursing experience and shall be certified as a case manager by a recognized certifying organization, i.e. Commission for Case Management Certification or American Nurse Credentialing Center.
Demonstrated knowledge of patient education principles and management of complex medical, psychosocial, and financial problems in order to enhance patient adherence to individualized treatment plans and train peers and staff.
Ability to seek feedback from peers, professional colleagues, clients, and outcomes research, in order to expand clinical knowledge, enhance role performance, and increase knowledge of professional issues.
Skills to effectively consult with health care providers at all levels and negotiate with outside providers for services and products in order to obtain client services and support. May be required to receive and maintain clinical practice privileges.
Maintain credentialing requirements in good standing at a local MTF. Required Skills/Training:
Fluent oral and written communication skills in English in order to meaningfully interact with peers, outside agencies, vendors, providers, and Military Health System (MHS) stakeholders to exchange information, provide briefings, presentations, research, and metrics to demonstrate or advance effective, efficient case management practice, outcomes, and organizational/MHS value.
Skill in team coordination, facilitation, and communication in order to facilitate the exchange of information/ education, enhance goal achievement; augment abilities of client support network, and effect change in system or policy at any level.
Knowledge of local, state, and federal laws and regulations, professional code of ethics, and practice standards in order to ensure adherence within legal and professional parameters. Standard Company Requirements:
Position requires U.S. Citizenship or Permanent Resident Status.
Applicant must include desired salary in application submission.
Must comply with Safety, Health and Environmental plan, policies and procedures.
Must comply with the Quality Assurance plan, policies and procedures.
Must maintain regular and acceptable attendance.
Responsible for completing all required training.
Perform other assignments and duties, as required. This position does not offer relocation. This position is noteligible for the internal recruiting incentive program. KBRwyle is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities. All qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, national origin, disability, veteran status or other legally protected status.
KBR is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, disability, sex, sexual orientation, gender identity or expression, age, national origin, veteran status, genetic information, union status and/or beliefs, or any other characteristic protected by federal, state, or local law.
Primary Location: US-US-CA-San Diego
Req ID: 1060544