Care Management Specialist, RN

POSITION SUMMARY: Responsible and accountable for coordinating the care of patients meeting case management criteria across the continuum of care. Ensures and facilitates the achievement of quality, clinical, and cost outcomes. Negotiates, procures, and coordinates services and resources needed by the patient and family. EDUCATION, CREDENTIALS, TRAINING and EXPERIENCE: Minimum Required: Graduate of an accredited school of professional nursing with current license to practice as a Registered Nurse in the state of North Carolina. Thorough knowledge of the nursing care process in the outpatient setting, gained through several years experience as a RN. Preferred:BSN and previous experience as a Care Manager Specialist. Knowledge of utilization review and outpatient planning methods and procedures. Understanding the clinical pathways and disease management models. ADDITIONAL SPECIALIZED KNOWLEDGE/SKILLS: Incumbent must demonstrate an ability to apply age-appropriate principles of communication relevant to adult, pediatric, adolescent, and geriatric patients. Incumbent must demonstrate competence in the use of equipment and application of procedures before being allowed to perform independently. ORGANIZATIONAL RELATIONSHIPS: Supervises: Reports To: Practice Manager