Rn Case Manager

Evergreen Health

TheRN Case Managerperforms a wide variety of duties and responsibilities in a manner that places emphasis on developing and coordinating individualized patient care services.

As part of the essential functions of this role, the RN Case Manager:

• Provides nursing support and care management services to patients presenting for injectable medications including coordination of medication delivery, ensures that required lab work is complete, and schedules and arranges follow-up appointments.
• Identifies and/or develops injection education and supportive interventions to increase patients skills and confidence in managing their health, including regular assessment of progress and setbacks, goal setting, and relapse prevention support.
• Educates patients, including medication administration, storage, safety, responsibilities, expectations and patient treatment agreements.
• Assists with patient medication refills and complying with NYS PMP (I-STOP) regulations.
• Acts as a liaison with pharmacy. Completes and assists in prior authorizations.
• Resolves patient problems and needs by utilizing multidisciplinary team strategies.
• Protects patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations.
• Acts as the liaison to Erie County Department of Health, New York State Department of Health and other public health entities in regard to patient treatment, follow up of care and surveillance. Maintains records, prepares reports, and composes correspondence relative to the work.
• Instructs and informs nurses regarding nursing practice in accordance with relevant policies and guidelines. Works directly with nursing staff to provide guidance and education, including facilitation of learning by using assessment and evaluation strategies.
• Helps to ensure that all nursing staff receives required and recommended trainings necessary to provide testing, referral, administration and/or referral to treatment, related documentation and any necessary follow-up or required reporting/surveillance.
• Acts as an advocate for the patient in all activities including nursing assessments, care coordination, care plan development, and communication.
• Educates patients in chronic disease management based on evidence-based protocols.
• Develops and implements care plans and provides intense education for medically complex patients, including developing interventions to address gaps in care and monitoring patients response to interventions.
• Completes transition of care (TOC) follow up and regulatory requirements.