RN Case Manager Liaison Nurse - Outpatient Complex Care - Seattle WA 5-8s

Essential Responsibilities

• Ensures patients referred to case management meet established case management criteria.
• Assesses all patients referred for case management to determine physical, mental, financial, psychosocial status, utilizing comprehensive, standardized criteria to identify existing and potential needs.
• Develops patient-centered case management plan based on assessments and includes patient goals, objectives, and outcomes with specific time frames (long/short term).
• Evaluates ability and availability of designated caregiver(s) to provide patient support.
• Collaborates with other health care professionals regarding the plan of care, variances in plan implementation, achieved outcomes or expected outcomes.
• Maintains ongoing communication with patient/family and care team.
• Acts as an advocate for patient care needs.
• Documents all responses of patient to case management interventions.
• Monitors and evaluates short and long-term patient responses to therapeutic interventions and analyzes patterns of variance from clinical information and outcomes.
• Recommends alternative settings for care based on health care needs and appropriate utilization of health care resources.
• Documents interventions and interactions with patients or caregivers according to KFHPW and Care Management policy and procedure.
• Participates in the measurement of the effectiveness of the case management program.
• Facilitates as needed, referrals for home health care, long-term care, hospice, and other care facilities or services.
• Participation in care conferences to provide problem-solving for patients with complex care needs (limited basis).
• Collects needed data needed to evaluate the effects of care coordination on quality outcomes, fiscal parameters, patient satisfaction, and systems improvement.
• Understands and utilizes health plan requirements and patient benefits in making care management decisions.
• Supports patient education and activation through referral to specific chronic illness classes, group visits, or community resources.

Experience

• Minimum three (3) years of recent RN medical/surgical/ambulatory clinical experience required.
• Minimum two (2) years of RN experience in ambulatory case management, care coordination, or disease management.

Education

• Bachelor’s degree.

License, Certification, Registration

• Registered Nurse License (Washington) required at hire OR Compact License: Registered Nurse required at hire.
• Basic Life Support required at hire.
• Case Manager Certificate within 36 months of hire.

Additional Requirements

• Effective, independent nursing judgment and skills, and use of evidence-based clinical decision-making criteria.
• Knowledge in management of chronic disease processes, nursing process, and collaborative care planning.
• Demonstrated skill and experience in effectively collaborating with care team members.

Preferred Qualifications

• Minimum two (2) years of RN experience in utilization review, ambulatory case management, care coordination, or disease management.
• Bachelor’s of Science in Nursing.