Special Operations Nurse Case Manager

Special Operations Nurse Case Manager

Requirements

• U.S. Citizenship
• Secret Clearance or Top Secret Clearance, or the ability to obtain a clearance
• Current RN license; full, active, and unrestricted license as a Registered Nurse in one of any U.S. State, the District of Columbia, Guam, Puerto Rico or U.S. Virgin Islands
• A minimum of two (2) years nursing experience
• Must be certified as a case manager by a recognized certifying organization, i.e. Commission for Case Management Certification, American Case Management Association or American Nurse Credentialing Center, or shall obtain the certification within the first year of employment
• Demonstrated knowledge of patient education principles and management of complex medical, psychosocial, and financial problems
• Ability to seek feedback from peers, professional colleagues, clients, and outcomes research
• Skills to effectively consult with health care providers at all levels and negotiate with outside providers for services and products
• May be required to receive and maintain clinical practice privileges
• Maintain credentialing requirements in good standing at a local MTF
• Fluent oral and written communication skills in English
• Skill in team coordination, facilitation, and communication
• Knowledge of local, state, and federal laws and regulations, professional code of ethics, and practice standards
• Must maintain current certification in Basic Cardiac Life Support (BCLS) by the American Heart Association

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
• 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
• 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
• Knowledge and skills in the use of VA/DOD Clinical Practice Guidelines
• Knowledge of the healthcare financial environment and the fiscal dimension of population health
• 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
• 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

Preferred Qualifications

• Ability to negotiate with outside providers for services and products
• Knowledge of pharmaceuticals, their desired effects, side effects, and complications of their use