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Nurse Case Manager Jobs in Alaska

Case Management - Nurse, Senior
By Blue Shield of California At , Rancho Cordova, 95670 $85,360 - $128,040 a year
Certified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirements
Provide Referrals to Quality Management (QM), Disease Management (DM) and Appeals and Grievance department (AGD)
Requires at least 5 years of prior experience in nursing, healthcare or related field
Extensive knowledge of evidenced based clinical practice guidelines particularly for chronic conditions.
Knowledge of Coordination of Care, Medicare regulations, prior authorization, level of care and length of stay criteria sets desirable.
Design appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access and cost-effective outcomes

Are you looking for a rewarding career in nursing? Join our team as a Nurse Case Manager and make a difference in the lives of our patients! With competitive pay and excellent benefits, you'll have the opportunity to work with a diverse team of healthcare professionals to provide quality care and support to our patients. Apply now and start making a difference!

Overview A Nurse Case Manager is a registered nurse who is responsible for providing comprehensive care management services to patients. They coordinate and manage the care of patients, ensuring that they receive the best possible care. They also provide support to patients and their families throughout the entire care process. Detailed Job Description Nurse Case Managers are responsible for assessing, planning, implementing, coordinating, monitoring, and evaluating the options and services required to meet the patient’s health needs. They work with other healthcare professionals to ensure that the patient receives the best possible care. They also provide education and support to the patient and their family. Nurse Case Managers are responsible for developing and implementing care plans for their patients. They must be able to assess the patient’s needs and develop a plan of care that meets those needs. They must also be able to monitor the patient’s progress and make adjustments to the plan of care as needed. Nurse Case Managers must also be able to communicate effectively with other healthcare professionals, patients, and their families. They must be able to explain medical terminology and procedures in a way that is easy to understand. They must also be able to provide emotional support to patients and their families. Job Skills Required
• Knowledge of medical terminology and procedures
• Ability to assess patient needs and develop care plans
• Ability to monitor patient progress and make adjustments to care plans
• Ability to communicate effectively with other healthcare professionals, patients, and their families
• Ability to provide emotional support to patients and their families
• Knowledge of healthcare regulations and standards
Job Qualifications
• Bachelor’s degree in Nursing
• Current Registered Nurse (RN) license
• Experience in nursing or healthcare
• Knowledge of healthcare regulations and standards
Job Knowledge
• Knowledge of medical terminology and procedures
• Knowledge of healthcare regulations and standards
• Knowledge of patient assessment and care planning
• Knowledge of patient monitoring and care plan adjustments
Job Experience
• Previous experience in nursing or healthcare
• Previous experience in patient assessment and care planning
• Previous experience in patient monitoring and care plan adjustments
Job Responsibilities
• Assess patient needs and develop care plans
• Monitor patient progress and make adjustments to care plans
• Communicate effectively with other healthcare professionals, patients, and their families
• Provide emotional support to patients and their families
• Educate patients and their families about medical terminology and procedures