The RN Case Manager will serve as the Clinic Care Manager. The manager will promote wellness, improved outcomes, and self-care within a defined population of patients with long term condition(s) and complex health needs to support their appropriate utilization of health services. The RN Case Manager will provide patients who have chronic conditions, the support, the education and assistance in the prevention and/or maintenance of their disease and/or health and wellness state, thus increasing patient compliance with their treatment plan. The RN Case Manager will work with the individual patient, their families, and providers of care to develop and implement individual health plans and provide support to the patient in self-management to support the patient’s optimal functioning and improve collaborative coordination of care to affect waste and inefficiency within the concept of the patient centered medical home.
Nursing Process (25%) - Triage, assessment, planning, implementation, and evaluation of nursing care and patient education either by telephone or within the Internal Medicine Center or UAMS clinic using the care management model. Conducts care management, including care plans, assessing progress and barriers. Coordinates care and/or follow-up for patients who receive care within the inpatient and outpatient facilities. Delivers nursing care according to standards as defined by UAMS, American Nurses Association, (ANA), AR State Board of Nursing (ASBN), and those set forth by nursing specialty organizations. Helps develop patient’s Plan of Care, (POC), per clinic standards utilizing assessment data. Evaluates the progress of patients’ toward attainment of desired outcomes.
Administers medication following clinic standards and the Nurse Practice Act. Verifies and evaluates care delivered to ensure consistency with standards and regulatory requirements. Coordinates follow-up for patients receiving care in inpatient and outpatient facilities. Coordinates patients’ prescription refill requests and education in collaboration with physician staff.
Education/EBP/Research /QI (20%) - Participates in Performance Improvement, Evidenced Based Practice/Research process. Systematically evaluates the quality and effectiveness of nursing practice. Supports the integration of current evidence into nursing practices. Promotes an environment conducive to positive educational experience for all students and staff. Provides effective patient/family education (link to PFCC).
Communication/Collaboration (15%) - Implements POC using an approach that is interdisciplinary with Patient and Family Centered Care. Effectively collaborates and communicates with nursing staff at all levels, interdisciplinary teams, executive leaders, and other stakeholders. Communicates care appropriately through documentation in the medical record. Reports variances in care/systems/processes through the appropriate means.
Leadership (10%) - Acts as a resource to others in the performance of duties. Demonstrates a commitment to the personal and professional development of other UAMS employees. Participates in recruitment/retention of staff. Facilitates development and implementation of nursing practice standards that are evidence-based and incompliance with ANA standards. Delegates care based on UAMS standards, legal and regulatory requirements, specific job descriptions, scope of practice and individual level of education and training.
Required Experience: Valid AR RN License, 3 years registered nursing experience with current BLS certification; basic computer skills.
Preferred Experience: ACLS certification or obtain certification within one year of hire date, BSN; knowledge or experience in PCMH.