RN - Registered Nurse - NICU, OB, L&D
Location: Omaha Nebraska
Description: Arbor Health Plan is hiring RN - Registered Nurse - NICU, OB, L&D right now, this occupation will be placed in Nebraska. For detail informations about this occupation opportunity kindly read the description below. Arbor Health Plan has an immediate opening for an experienced RN with Mother/Baby or NICU background. Case Management experience preferred but, not required.
Under your Supervisor, the Case Manager assumes the overall accountability for the identification of members/consumers (M/C) appropriate for care coordination and/or case management program services.
Responsibilities Include:
- The Case Management - Care Coordination (CM/CC) program is a blended model that provides comprehensive case management and disease managem! ent services to the highest risk health plan M/Cs.
- Co! mpletes a comprehensive case management assessment and gathers pertinent information about the M/Câs needs by interviewing the M/C, appropriate family members, physicians, ancillary health professionals and others as necessary.
- Responsible for the development of the M/Câs interdisciplinary individualized plan of care including short term and long term goals in collaboration with the M/C.
- Monitors and evaluates the M/Câs progress towards meeting goals and initiates appropriate interventions as necessary.
- Serves as an advocate for the member and acts as a liaison between the M/C and other community based agencies, facilities, providers, and practitioners in coordinating the M/Câs care.
- Refers M/C as appropriate for other services such as Special Needs and Pharmacy.
- Works closely with the assigned Case Management Technician, to manage the M/Câs care needs.
- Assumes a leadership role in monitoring appropriate utiliz! ation of the M/Câs benefits and in coordinating with other payor sources.
- Understands, supports, and practices within the scope of the State of Nebraska Nurse Practice Act and the Case Management Practice Standards established by the Case Management Society of America ( CMSA ).
- This position receives no direct or indirect incentive for determinations made in applying utilization and case management guidelines, selecting providers for services, or in the assignment of M/C benefits.
Position Qualifications/Requirements:Education and Training:
- Unrestricted Nebraska RN licensure and three (3) years clinical practice experience in Maternal-Child (e.g. NICU, ante and post partum, mother-baby)
- Eligible for Certification in Case Management within one year of ! accepting position.
- Three â" five years of Case Management ex! perience preferred.
- Experience in Labor & Delivery, NICU or OB
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If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to Arbor Health Plan.
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This occupation starts available on: Tue, 11 Feb 2014 18:07:13 GMT