Position Information:

The Nurse Case Manager is a Registered Nurse responsible for providing patient case management services to assigned populations. Utilizes a collaborative interdisciplinary approach to anticipate integrate and coordinate the patient's plan of care discharge plan and re-entry into the community. The goal of the intervention is to meet the needs of patients in order to optimize clinical and resource outcomes and to monitor the effectiveness of the plan and its outcomes. In collaboration with the social worker the nurse case manager identifies at risk patient populations who require patient case management services. Provides bio-psychosocial assessments to identify patient needs and to assist in the development of the plan of care. The Nurse Case Manager serves as a patient/family advocate and acts as a communication link between the physician patient family health care team community resources and payers to reduce redundancy and fragme...