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Spartanburg, South Carolina
Location: Danville, Pennsylvania
Type: Full Time
Internal Number: R-11837
Assesses, plans, implements, coordinates, monitors and evaluates all options and services with the goal of optimizing the patient or member's health status. Manages utilization and practice metrics to further refine the delivery of care model to maximize clinical, quality, and fiscal outcomes.
Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position.
The RN Case Manager will manage high risk and high complexity Cardiac and Pulmonary conditions. You will split your time between the two specialties. Prior experience with Cardiology or Pulmonology preferred.
Cardiology- Focus on medically complex Heart Failure patients with frequent exacerbations or high utilizers (Admission and ED visits). RN Case Manager will work closely with Cardiology to manage these patients- managing HF exacerbations-Education- Medication adjustments- acute interventions (Appointments and assistance with IV medications in office if needed)- frequent follow up with patients- resources- possible home visit if needed, and Post D/C follow up.
Pulmonology – Will primarily focus on medically complex and high risk COPD patients with high utilization or frequent exacerbations. CM will work closely with pulmonologist to manage these patients with COPD. CM will follow patients closely- collaborate with Pulmonologist, provide education, acute interventions, Post Dc follow up, and possible home visit if needed.
We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
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