RN Medical Case Manager
RN Medical Case Manager
Registered Nurse Medical Case Manager
Location: Arlington, VA
In support our customer, PSI is searching for a RN Medical Case Manager to support the sponsor agencies goals.
Essential Functions and Job Responsibilities for RN Medical Case Manager:
The successful candidate’s core responsibilities will include, but not to be limited to:
•Providing sponsor personnel with physical or mental injury/illness, recovery and reintegration services for the injured individual and his/her family.
•Executing, coordinating and facilitating articulated recovery care plans to maximize treatment, mitigate further harm/risk and optimize reintegration.
•Assisting the injured individual through all phases of recovery to meet objectives, as well as facilitating between the injured individual’s family and/or local government and community resources to ensure recovery care plans are executed in a timely, cost-effective, and evidence-based manner indicative of optimal recovery and reintegration.
•Providing sponsor personnel with physical injury or mental injury/illness, recovery and reintegration service support for the injured individual and his/her family.
•Assisting in the management of care denial by referral location and/or third-party payers, and thus shall be proficient in healthcare insurance processes around injury recovery, rehabilitation, and reintegration, to include plan coverage, approved intervention options and strategies, financial claims, and etc.
•Assisting sponsor personnel in health and recovery data collection and reporting, that will highlight potential delays in recovery progress and/or detriments in the quality of care for the injured individual and his/her family.
•Monthly data collection efforts will be executed in coordination with the sponsor and will be utilized to generate findings, reports, and/or briefing that shall provide policy guidance, development and/or coordination.
•Providing physical injury or mental injury/illness, recovery and reintegration services in support of sponsor’s expeditionary strategy.
•Maintaining a record-keeping system in order to precisely establish, direct and monitor physical therapeutic consultation service requests, to include the date and time of the request, the location making the request, the nature of the request, and the date, time, and outcome for each established request.
•Primary coverage shall be provided between the hours of 8:00 am and 4:30 pm Eastern Standard Time (EST).
Minimum Requirements for RN Medical Case Manager
•Bachelor’s degree in related fied with 2+ years’ experience working within a clinical or mental health setting. An equivalent combination of education, certification, and relevant experience may be considered.
•Recognized as one of the following:
•Licensed Practical Nurse (as recognized by the Commission on Collegiate Nursing Education (CCNE) or the National League for Nursing Accreditation Commission (NLNAC))
•Licensed Registered Nurse (as recognized by the National Council of State Boards of Nursing (NCSBN))
•Licensed Physician Assistant (as recognized by the National Commission on Certification of Physician Assistants)
•Valid and current certification as a professional medical case manager (as recognized by the Commission for Case Management Certification (CCMC)).
•Must be available in an on-call status, when needed.
•Must be available to travel to various locations within the United States to personally interact with the individuals being treated/supported.
•Ability to effectively work in a team environment.
•Excellent interpersonal skills.
•Excellent verbal and written communication skills.
•U.S. Citizenship is required. Candidates selected must be able to successfully pass an extensive Government background investigation.
Job #MC PSI
- Lucy Jensen
- Registered Nurse
- Arlington, VA
- No Specialty
- Employment Status:
- Permanent Full-Time
- State License Requirement:
- Minimum Experience:
- 1—3 Years
- Date Posted: