Work directly as a member of the Arkos Health Interdisciplinary Team
Implement and participate in the patient’s plan of care; update and revise as needed
Assist in coordination of comprehensive care; including obtaining referrals to other interdisciplinary services (Home Health, Palliative Care, Social Services) to help prevent further need for acute care utilization
Maintain case load based on the needs of the client and/or contractual obligation
Conduct face to face visits at a minimum of every 2 weeks for assigned patients enrolled in Intensive Case Management. May conduct increased face to face or telephonic visits based on the needs of the patient and or contractual obligation
Complete Clinical and Social Assessments (CSA) to develop care plan upon initial start of care visit with patient
Provide communication with patient’s providers and medical specialists regarding patient status and any changes in condition
Engage with Arkos Health leadership and contracted providers to resolve changes in patient status, complaints, or complications though participation in weekly ICT meetings
Complete medical reconciliation for all transitional care patients within 30 days of initiation of TCM contact
Requirements
Current, unencumbered, Registered Nurse License and graduation from an accredited Registered Nursing program required
Case Manager Certification (preferred)
Current BLS/CPR certification required
Current TB test and maintain a negative test annually required
Hep B vax/titer proof (Company does offer/or may sign a declination) required
Current flu shot (or sign waiver/follow mask policy) required
Having an in-depth knowledge of health care services and other medical terminology is a required