Position Summary
Performs a variety of high-level nursing case management services through the development and use of geriatric nursing practice standards. Activities include conducting a comprehensive geriatric nursing assessment, history and physical, developing and reassessing a plan of care which addresses the physical and psychosocial needs of the older adult and family, patient/family education and coordination of care and services across various sites of care. The Geriatric Nurse Case Manager assists in the development, implementation, evaluation and revision of the case management model of care and program. Ensures that desired patient outcomes are achieved and that variances from established best practices are evaluated and addressed as necessary. Position: Nurse Case Manager Department: Geriatric Primary Care at Home Schedule: Per Diem Education JOB REQUIREMENTS Graduate of an accredited baccalaureate nursing program is required; Masters preparation highly desirable. Certificates, Licenses, Registrations Required Requires a license to practice professional nursing as a registered nurse in the Commonwealth of Massachusetts or ability to obtain MA reciprocity license prior to start. Certificate in Geriatric Nursing is highly desirable. Experience Requires 5 years' experience as an RN functioning in a model of care delivery system that included case management. Knowledge And Skills...As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided...
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