Top Registered Nurse Case Manager Skills

Below we've compiled a list of the most important skills for a Registered Nurse Case Manager. We ranked the top skills based on the percentage of Registered Nurse Case Manager resumes they appeared on. For example, 15.2% of Registered Nurse Case Manager resumes contained Patient Care as a skill. Let's find out what skills a Registered Nurse Case Manager actually needs in order to be successful in the workplace.

The six most common skills found on Registered Nurse Case Manager resumes in 2020. Read below to see the full list.

1. Patient Care

high Demand
Here's how Patient Care is used in Registered Nurse Case Manager jobs:
  • Applied concepts of infection control and standard precautions in coordinating/performing patient care activities to prevent contamination and transmission of disease.
  • Reported family and patient information to the respective interdisciplinary team members to maintain continuity of patient care.
  • Developed effective working plans for time management and organization to ensure accurate and appropriate patient care.
  • Presented complex cases to patient care management and team members to facilitate collaboration and process efficiency.
  • Collaborate with other multidisciplinary team members during patient care conference and modify care plans as appropriate.
  • Supervised and provided direction to professional and auxiliary personnel who also provided direct patient care.
  • Provided appropriate critical thinking skills and education needed for adequate and substantial patient care.
  • Coordinated patient care/treatment, home modifications, travel and overall patient specific needs.
  • Facilitate quality patient care by utilizing cost effective and outcome management criteria.
  • Collaborate patient care with Interdisciplinary Team members to provide exceptional patient outcomes.
  • Modified inpatient care through an interdisciplinary approach to ensure optimal patient outcomes.
  • Developed and implemented systems for improved quality of documentation and patient care.
  • Coordinated with scheduler availability of field staff to ensure appropriate patient care.
  • Assume overall responsibility for organizing patient care from an Interdisciplinary Group approach.
  • Audited and reviewed all documentation related to patient care and quality.
  • Managed patient care per physicians' orders within an interdisciplinary system.
  • Managed medications and formulated and implemented all patient care planning needs.
  • Developed, implemented, and evaluated individualized patient care plans.
  • Coordinated Available upon request /supervised all aspects of patient care
  • Attend and participate in weekly interdisciplinary patient care conferences.

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2. RN

high Demand
Here's how RN is used in Registered Nurse Case Manager jobs:
  • Functioned as a clinical resource and educator; identified opportunities for alternative care options and assisted members to achieve optimal health.
  • Identified appropriate alternative and non-traditional resources and demonstrate creativity in managing each case to fully utilize all available resources.
  • Compiled patient outcome statistics, resulting in a research study with ongoing presentations at numerous external medical conferences.
  • Monitor patients treatments, procedures and medications frequently and communicate needed changes and concerns to appropriate physicians.
  • Participated in care conferences and collaborated with internal and external resources as well as community agencies.
  • Provided day to day patient education, provider relations and clinical monitoring RN Utilization Management Responsibilities.
  • Maintain regular communication with the attending physician concerning patient/family care needs and response to interventions.
  • Collaborate with Nurse Practitioner and external providers to coordinate care for medically complex patients.
  • Served on point to establish coordinated efforts with government regulators and insurance companies.
  • Trained extensively in Medicare and state regulations governing home care and hospice/palliative care.
  • Collaborate with internal and external agencies and operate nursing activities in efficient manner.
  • Communicated with physicians any changes in conditions, concerns of patient/family members.
  • Performed relationship building with hospital organization and external customers to hospital.
  • Refer patients to specialized health resources or community agencies furnishing assistance.
  • Deliver advanced clinical care to patients returning home following hospitalization.
  • Perform home health physical assessments and evaluate patient learning capabilities.
  • Coordinated with alternative therapies to provide effective comfort measures.
  • Facilitated medical treatment and return-to-work activities.
  • Perform evening/weekend/on-call and PRN RN visits
  • Charged with managing physical and mental health needs of population of persistently mentally ill adults in Alternative Families for Adults program.

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3. Disease Process

high Demand
Here's how Disease Process is used in Registered Nurse Case Manager jobs:
  • Provided assessment and education regarding disease process, dietary requirements, and medication management to elderly patients in their home setting.
  • Coordinated and oversaw team care using multidisciplinary approach to treat disease processes to assist patients return to maximum levels of independence.
  • Provide and coordinate appropriate counseling concerning disease process, therapy regimen and precautions that may prevent complications and improve outcomes.
  • Developed individualized patient care plans, based upon the identified disease process, severity of illness and anticipated outcome.
  • Facilitated access to community resources and provided extensive education to patients on various disease processes for improve self care.
  • Case management of Medicare patients, interdisciplinary communication, disease process education, medication education, POC development
  • Utilized a multidisciplinary approach to educate patients/families about their disease process to foster independence and decrease re-hospitalization.
  • Monitored closely for and promptly identified complications of disease processes which are reported immediately to the physicians.
  • Monitored quality control of chronic clients and provided education to inmates regarding medications, disease process.
  • Provide education to clients and family members about disease processes and provide emotional support and recommendations.
  • Provided education to residents regarding disease and illness prevention, medications and disease process.
  • Educate patient regarding disease process and management, pain management, and medication management.
  • Developed care plans for patients specific disease process and implemented with physicians approval.
  • Educate patients on their disease process, potential infections and medication administration.
  • Provide ongoing education and emotional support related to disease process and progression.
  • Provide education on medications, disease process, and nutrition/dietary information.
  • Coached and educated members in managing disease processes and catastrophic injuries.
  • Provide patient and family education regarding disease processes and end-of-life care.
  • Educate patients and family on disease process and medications management.
  • Provide patient and provider education about disease processes and safety.

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4. Medicare

high Demand
Here's how Medicare is used in Registered Nurse Case Manager jobs:
  • Completed OASIS and other necessary documentation according to Medicare/Insurance guidelines while determining appropriate goals and outcomes to meet patient's needs.
  • Monitored care through Medicare ACO data collection and analysis to maximize clinical, quality and fiscal outcomes for targeted population.
  • Reduced financial burdens placed on hospital facility by ensuring patients were provided correct services based on Medicare and insurance guidelines.
  • Participated in bi-weekly interdisciplinary team meetings giving input in regard to patient's eligibility for hospice benefits under Medicare.
  • Direct care for home bound patients including assessment and documentation utilizing OASIS documentation following Medicare guidelines and AHCA regulations.
  • Facilitated company audit of policy and procedures to prepare for survey to become Medicare certified to expand patient database.
  • Coordinated with doctors and registered nurses to develop care plans while following Medicare regulations and licensing guidelines.
  • Provided Case Management services to Medicare, Medicare Advantage and Commercial insured residents receiving skilled care services.
  • Complete and compile documentation according to Medicare regulations, organizational policies and procedures, HIPPA standards.
  • Manage reporting per Medicare requirements, ensuring diagnostic justifications for service levels, and service delivery.
  • Demonstrated detailed charting reflecting compliance with Medicare guidelines and evidence of hospice criteria for care.
  • Compile and complete documents to Medicare standards., organizational policies/procedures, and government regulations.
  • Utilized Motivational Interviewing techniques to help Medicare patients make and achieve healthy outcomes.
  • Involved and responsible for fiscal management with Medicare and Insurance companies authorizations.
  • Complete documentation according to Medicare guidelines Perform home health aide supervisory visits.
  • Individualized Care Plans and Re-Certifications bi-weekly to document changes within Medicare guidelines.
  • Paper and computer documentation with McKesson system per Medicare and agency protocols.
  • Assure regulatory compliance including achieving and maintaining Hospice/Home Health Medicare Certification.
  • Provided admissions, re-certifications, and discharges per Medicare Oasis-C guidelines.
  • Evaluate potential clients for eligibility of hospice services under Medicare guidelines.

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5. Medicaid

high Demand
Here's how Medicaid is used in Registered Nurse Case Manager jobs:
  • Demonstrate OASIS documentation according to Medicare/Medicaid guidelines
  • Provided case management services to the elderly, developmentally disabled, and mentally ill population in a Medicaid Managed Care organization.
  • Provide Care Management and Assessment of health care needs for the WellCare- Medicaid insurance beneficiaries with Developmental Disability in the community.
  • Developed and implemented Plan Of Care and Discharge planning under Medicare/Medicaid and Managed Care in accordance to federal regulations.
  • Audit patient charts for completed documents necessary for billing and reimbursement of Medicare/Medicaid and other private insurance companies.
  • Reviewed concurrent hospitalizations daily, audited physician's office visits and ancillary services for our 24,000 Medicaid members.
  • Utilize Medicare/Medicaid guidelines to determine the nursing skills, visit frequency/duration of care required for each patient.
  • Initiated a quality improvement program for Medicare and Medicaid to improve patient outcomes and hospital reimbursement.
  • Coordinated multidisciplinary approach to patient care for Medicare, Medicaid, and private insurance patients.
  • Maintained charts and updated patient information to meet State and Federal Medicare and Medicaid regulations.
  • Reviewed charts of patients admitted to the hospital for insurance and Medicare/Medicaid admission criteria compliance.
  • Ensured compliance with and continuously updated knowledge of Medicare and Medicaid practices and reimbursement requirements.
  • Prepared and coordinated Medicare and Medicaid submissions in accordance with organization policy and government regulations.
  • Performed regular patient chart reviews to ensure compliance with agency and Medicaid regulations.
  • Performed and submitted comprehensive in-home assessments and coordinated Star Plus Waiver Medicaid benefits
  • Report data collected to superiors and case managers to reduce Medicaid/Medicare costs.
  • Inquired about prior authorizations, Medicaid and other patient related assistance programs.
  • Documented clearly under Maternity Case Management requirements for medicaid funded program.
  • Reviewed weekly skilled nursing documentation to ensure compliance with Medicare/Medicaid regulations.
  • Outreached to Medicaid members to identify needs thorough comprehensive health assessment.

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6. IV

high Demand
Here's how IV is used in Registered Nurse Case Manager jobs:
  • Assisted with the development, implementation and evaluation of facility philosophy/mission statement, objectives and goals, guidelines and methods.
  • Developed and implemented comprehensive, cost-effective plans of care while continuously conducting assessments/reassessments as needed or required for all members
  • Supported patient transitions through effective communication and interventions by arranging non-complex home health set-up with patient/family members preferred agencies.
  • Volunteered initiative and trained for Case Management position during corporate restructuring due to unexpected loss of acting case manager.
  • Demonstrated effective and empathetic communication with patients and their family members and between other members of Interdisciplinary Team.
  • Created case management plans based on assessments with measurable, time-oriented goals and objectives utilizing evidenced-based criteria.
  • Make evaluations and decisions based on measurable criteria, excellent communication skills and maintaining privacy and confidentiality.
  • Participated in all the clinical outcomes of monitoring, agency performance and follow-up for improvement initiative.
  • Work independently after office hours to provide individualized nursing care to hospice patients in different settings.
  • Conducted initial assessment of patients and families and generated patient specific and individualized plans of care.
  • Provided information and assessed for any in home safety equipment deemed necessary for each individual patient.
  • Provided palliative care in outpatient/inpatient settings ranging from assessment to development and implementation of care plans.
  • Provided emotional support and caregiver validation during difficult time in life of patient and families.
  • Provided holistic care for terminal individuals including necessary nursing procedures and care in their homes.
  • Collaborated effectively with integrated care team to establish an individualized plan of care for patients.
  • Identified to participate in clinical outcomes monitoring, follow-up, and agency performance improvement initiatives.
  • Facilitated patient assessments and devised effective treatment methods/care plans to reduce pain and discomfort.
  • Educated patients/caregivers regarding infection control, medication regimen and importance of treatment adherence.
  • Delivered patient support including assessment, counseling, education regarding medications and treatment.
  • Provide comprehensive case management designed to improve individuals and/or family quality of life.

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7. Treatment Plans

high Demand
Here's how Treatment Plans is used in Registered Nurse Case Manager jobs:
  • Facilitate communication between patients, their physicians and caregivers to clarify treatment plans, medication regimens or other urgent issues.
  • Identified and coordinated treatment of high complexity, high cost patients providing continuity and individualized treatment plans and interventions.
  • Coordinated interdisciplinary team in development and implementation of treatment plans to best facilitate clinical outcomes and maximize reimbursement.
  • Developed individualized patient treatment plans and delegated care tasks to ancillary staff and care providers as appropriate.
  • Documented case management assessments, activity, treatment plans and resolutions; prepares narrative and statistical reports.
  • Ensured efficacy of prescribed treatment plans through monitoring of treatment outcomes and advocated for needed interventions.
  • Performed daily utilization reviews and submitted clinical documentation for payer approval of LOS and treatment plans.
  • Evaluated injuries and disabilities in Workers Compensation claims to determine severity and appropriateness of treatment plans.
  • Collaborate with multidisciplinary team to develop, monitor, and refine individual treatment plans.
  • Developed in conjunction with client and team individualized treatment plans that were recovery focused.
  • Facilitated communication and coordinate treatment plans with claimant, physicians, facilities and technicians.
  • Collaborate with medical directors and inter-disciplinary team to develop care management treatment plans.
  • Assisted in the development of treatment plans using established and acceptable medical criteria/guidelines.
  • Developed individualized treatment plans and administered medications via subcutaneous and intravenous infusion.
  • Collaborated with health care team to effectively communicate desired patient treatment plans.
  • Performed skilled nursing assessments and developed treatment plans based on initial evaluation.
  • Reviewed and negotiated medical treatment plans submitted by physician of record.
  • Developed treatment plans for management of diseases working alongside medical directors.
  • Verified medications and treatment plans/changes with other medical professionals.
  • Communicated directly with physicians to discuss treatment plans.

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8. Providers

high Demand
Here's how Providers is used in Registered Nurse Case Manager jobs:
  • Communicated with medical insurance providers to verify patient eligibility, medical benefits, and obtained authorization for admission when appropriate.
  • Collaborated with the Medical Directors on referrals to outside providers and formal denials requiring Medical Director's expertise.
  • Collaborate with community health education/outreach organizations and providers to provide for the overall health promotion of TCHP members.
  • Coordinated care with providers/patients/caregivers using best nursing practice to ensure optimal health status of patients in their residences.
  • Communicate directly with providers and injured workers; assist with settlement negotiations and projection of future medical needs.
  • Initiated and facilitated referrals to community based providers for lower level of care support and outpatient services.
  • Communicated with medical providers and patients to assist the approval and application for prior authorizations for payment.
  • Communicated effectively with health care providers and family members regarding patient status and updates.
  • Collaborated and consulted with physicians and other providers to develop individualized plan of care.
  • Reviewed medical record to assist providers with decision to admit for observation or inpatient.
  • Coordinated care with family/caregivers/providers using best care practice working with patients in their residences.
  • Assist Clinical Supervisor in identifying providers with documentation deficiencies and staff development processes.
  • Provide feedback to Preferred Provider Network regarding provider nominations and experience with providers.
  • Participate in weekly conference with Medical Director & Providers to develop plan of treatment
  • Worked closely with insurance providers to obtain authorizations and timely payments for services.
  • Skilled with negotiating modified duty positions/restrictions, and obtaining MMI status with providers.
  • Assisted clinicians with coordination of services when multiple ancillary providers are necessary.
  • Negotiate reimbursement amounts with out-of-network providers when in-network providers are not available.
  • Communicate with various Insurance Providers to assure coverage and reimbursement as indicated.
  • Perform utilization management, collaborate with care providers and team members.

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9. LPN

high Demand
Here's how LPN is used in Registered Nurse Case Manager jobs:
  • Performed supervisory visits with LPN/CNA to ensure adherence to policy and patient satisfaction.
  • Supervised LPN and CNA staff-completed supervisory visits and yearly evaluations
  • Conducted supervisory LPN and CNA visits per regulatory requirements.
  • Provide LPN supervisory visits and CNA supervisory visits
  • Documented necessary supervisory LPN and HHA visits.
  • Advised LPNs if health/welfare/safety issue arose, directed the nurse in proper course of care in a wide variety of situations.
  • Home Health Case Management - admissions, clinical assessment, documentation, OASIS forms, supervision of LPN and CNA staff
  • Provided case management of case load coordinating Doctor, CNA, LPN, Social Work, and Bereavement visits.
  • Case managed 16-19 patients and supervised the home health aids and LPN staff that also worked with these patients.
  • Train and supervise Health Coaches and LPNs in Community Health for high risk patients in and around Camden NJ.
  • Coordinated patient care within all disciplines, supervised LPN and CNA staff, preceptor for new staff and student nurses
  • Work in collaborative practice with the LPN on patient visit assignments to promote quality patient care and outcomes.
  • Worked alongside hospice team in coordinating care for the patients, overseeing the LPN, and CNA cares.
  • Direct care and Supervisory visits with LPN and home health aide and family assessing quality of care given.
  • Supervised LPN's and CNA's and ensured safe care was provided and medical orders were followed.
  • Counseled RN Case Managers and field LPNs regarding documentation and the importance of following policies and procedures.
  • Case managed caseload of 10-20 hospice patients and supervision and assignment of duties to CNA and LPNs.
  • Assisted in training of new LPN which included instruction of proper documentation and orientation to home visits.
  • Provide routine visits per order, LPN and Home Health Aide supervisory visits within mandated time frames.
  • Delegate appropriate nursing functions to LPN's and CNA's according to MN Board of Nursing guidelines.

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10. Physical Therapy

high Demand
Here's how Physical Therapy is used in Registered Nurse Case Manager jobs:
  • Coordinated care with a multidisciplinary team which included nursing, physical therapy, occupational therapy, and speech therapy.
  • Monitor and recommend treatment following the county panels including appointments, diagnostic testing, physical therapy and medications.
  • Case management of care including communication with physical therapy, occupational therapy, physicians, and physician assistants.
  • Refer patient to necessary services upon discharge: physical therapy, occupational therapy and speech therapy.
  • Case Manage all medical appointments including physician appointments, physical therapy and occupational therapy visits.
  • Monitored Aides, collaborated with Doctors, Physical Therapy Occupational Therapy and Assisted Living staff.
  • Coordinated care with other disciplines such as physical therapy, occupational therapy and speech therapy.
  • Coordinated patient care with various services including Physical Therapy, Occupational Therapy and Social Services.
  • Collaborated with physicians, occupational therapy, and physical therapy for additional patient interventions.
  • Determined medical appropriateness and necessity of outpatient physical therapy and alternate care services.
  • Collaborate with physical therapy and physicians to ensure providing optimal level of care.
  • Collaborated care with physical therapy, occupational therapy and social work.
  • Coordinated care with physical therapy, occupational therapy and speech therapy.
  • Managed 30-50 patients including physical therapy, occupational therapy and aides.
  • Reviewed all physical therapy and chiropractic claims.
  • Consulted with the physician regarding physical therapy, nutrition, speech therapy, respiratory therapy and other ancillary services as needed.
  • Coordinated discharge orders, such as: ordering medical equipment, setting up physical therapy up for Home Health and Outpatient.
  • Introduced the other disciplines as needed such as physical therapy, occupational therapy, social work and home health aid care.
  • Assess client needs and implements a plan of care by coordinating with other disciplines such as physical therapy and occupational therapy.
  • Home visits, physical assessment, interdisciplinary treatment planning with physician, therapist, physical therapy and all other disciplines daily.

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11. Utilization Review

high Demand
Here's how Utilization Review is used in Registered Nurse Case Manager jobs:
  • Participated in Quality Improvement/Utilization Review activities.
  • Maintained compliance with established utilization review process performance expectations and standards assuring participants received the highest level of professional medical accuracy.
  • Provided utilization review to ensure patients receiving the appropriate level of care and appropriate communication with insurance providers for timely reimbursement.
  • Combine clinical/quality considerations with regulatory/financial/utilization review demands to assure patients are receiving care in the appropriate setting and level of care.
  • Provided education to nurses and physicians regarding benefits and purpose of case management services for utilization review and care coordination.
  • Identified potential barriers to discharge and facilitated resolution of issues through communication with physicians, staff members and utilization review.
  • Provided case management and utilization review on a 31-bed unit, utilizing Inter-Qual criteria to determine Inpatient or Observation status.
  • Performed utilization reviews for each patient on a daily basis to ensure patients were meeting inpatient criteria and medical necessity.
  • Case management and utilization review in an acute care setting with increasing emphasis on re-admission prevention and improved health outcomes.
  • Performed utilization reviews ensuring admissions met criteria for appropriateness of care and medical necessity on a medical surgical unit.
  • Performed utilization review ensuring admissions meet criteria for appropriateness of care, medical necessity, and level of care.
  • Conducted initial utilization reviews to identify medical necessity criteria met for in-patient or 23 hour admission status.
  • Recommended referral for utilization review for medical necessity as related to standard treatment guidelines and regulatory requirements.
  • Performed daily utilization review of residents on Medicare/Managed care skilled services to determine qualification for skilled stay.
  • Launched Great Beginnings program specializing in utilization review and care management working with multiple operating systems.
  • Experience in the medical insurance industry by obtaining Prior Authorizations and complete Concurrent and Utilization Reviews.
  • Performed care coordination, utilization review and case management for mentally ill and chemically dependent population.
  • Assigned additional responsibilities as a performance improvement case manager, handling utilization review and discharge planning.
  • Performed utilization reviews on all new patients, commercial, Medicaid and Medicare ensuring criteria guidelines.
  • Included staff education, in-services, utilization review, and Patient Satisfaction Improvement Committee membership.

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12. Health Aides

high Demand
Here's how Health Aides is used in Registered Nurse Case Manager jobs:
  • Monitor the appropriate completion of documentation by home health aides/personal care workers as part of the supervisory/leadership responsibility.
  • Supervised/educated company assigned Home Health Aides in patient care and collaborated with interdisciplinary medical team on weekly basis.
  • Provided supervision of home health aides and coordinated services of other disciplines including physical and occupational therapists.
  • Supervised Home Health Aides, Performed physical examinations and mental health evaluations.
  • Supervised LPNs, Home Health Aides and paraprofessionals according to regulatory guidelines.
  • Supervised LPN/Home Health Aides according to regulatory protocol.
  • Supervised Home Health Aides/Certified Nurses Aides and Homemakers.
  • Collaborated and coordinated the patients care between physicians, nurses, physical therapy, occupational therapy, and home health aides.
  • Coordinated and prioritized daily schedule with Home Health Aides and LPNs to ensure patients' and families' needs were met.
  • Facilitated referrals to physicians, physical and occupational therapists, chaplains, social workers and home health aides based on need.
  • Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Behavioral Health Facilities.
  • Case Manager for skilled home care patients*Used nursing process, assessed, planned & implemented patient care*Supervised Home Health Aides on team
  • Assess need for durable medical equipment and arrange for delivery/pick up of equipment as necessary -Supervision of home health aides WORK HISTORY
  • Coordinated the care of the client between multiple service providers; supervise home health aides; maintain record of client status.
  • Supervised home health aides, assessed patients; instruction, wound care/dressing changes, lab, IV's, administered injections.
  • Prepared detailed and accurate patient charts; managed patient care plans for the Home Health Aides and Licensed Practical Nurses.
  • Case Manage total care of patients by coordinating with IDT members, supervising Home Health Aides and communicating with IDT.
  • Collaborated with physicians, therapists and home health aides, to ensure each patient meets care plan objectives and goals.
  • Collaborated with MD and NP, following through with orders received; delegated duties to LPN and Home Health Aides.
  • Provided home care and hospice services, including admissions, discharges, assessments, and supervision of home health aides.

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13. Hospice

high Demand
Here's how Hospice is used in Registered Nurse Case Manager jobs:
  • Maintain professional management of each patient and act as primary liaison between physician, patient/family and hospice interdisciplinary group.
  • Supervised and documented hospice aide/homemaker and licensed practical nurse care plans and provided ongoing education to said support staff.
  • Performed initial nursing assessments and ongoing weekly assessments to ensure effective delivery of palliative care within the hospice philosophy.
  • Worked with family/caregiver and hospice interdisciplinary team members to meet the emotional needs of the patient and family/caregiver.
  • Established strong business relationships with facility staff contributing to increased hospice census for the organization.
  • Assessed for appropriateness for admission to Hospice Care based on Federal Guidelines and Company policy.
  • Managed and facilitate direction of a hospice caseload, supervision of ancillary and facility staff.
  • Performed review of patient's medical history and diagnosis to determine hospice admission appropriateness.
  • Conducted admissions of newly referred patients as needed, including determining appropriateness for hospice.
  • Managed hospice patients throughout Mercy Medical Corporation including Mobile and Baldwin Counties of Alabama.
  • Conducted physical assessments, re-certifications, hospice admissions, discharges and revocations.
  • Evaluated, admitted, and appropriately documented patient eligibility of Hospice needs.
  • Perform assessments, evaluate and reevaluate hospice treatments and medications for efficacy.
  • Participate in community awareness programs to promote understanding of hospice concepts.
  • Provided system management for discomfort, and hospice-specific specialized nursing duties.
  • Evaluated patients for hospice eligibility and discussed with physician if appropriate.
  • Coordinate interdisciplinary team approached care for Hospice patients and their families.
  • Assessed patients under specific guidelines for appropriateness for hospice care.
  • Applied specific criteria for admission and re-certification to hospice care.
  • Evaluated patients for hospice eligibility and admitted them to service.

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14. CNA

high Demand
Here's how CNA is used in Registered Nurse Case Manager jobs:
  • Direct patient care in home/SNF setting* Patient/caregiver education* Proper documentation* CNA Supervision* Medication reconciliation* Implement and maintain plan of care
  • Supervised ancillary personnel (CNA and Licensed Practical Nurses) and delegated responsibilities when required.
  • Conduct monthly multidisciplinary case conferences and monthly LPN and CNA supervisory visits.
  • Provided palliative nursing care to terminally ill patients, established individual care plans, and supervised LPN and CNA staff.
  • Assist CNA with bathing, dressing, grooming for bed bound patients, skin assessment with wound care as needed.
  • Managed the complete needs of the Home Health Client and their interdisciplinary team members...i.e, CNA, LPN
  • Direct and supervise home health CNA and personal care assistant to ensure patient activities of daily living are met.
  • Supervised and directed assigned LPN's, CNA's and home health aides per federal and state regulations.
  • Educated and supervised all CNA's on team, ensuring care is appropriate and within scope of practice.
  • Participated in the interdisciplinary team consisting of : Physician, Pharmacist, CNA, Social worker and chaplain.
  • Managed CNA Team on a daily basis and served as Lead Nurse during call shifts every 3rd weekend.
  • Case management includes coordination of care with physician, social work, chaplain services and CNA's.
  • Provide Supervision to another RN, LPN, and CNA Provide assistance for families and doctors ICD-9 Coding
  • Ensured proper patient care, Established monitoring system, supervised LPN, CNA perform prescribed care plans.
  • Provided oversight to CNA staff, ordered medications, and provided medication education to families and patients.
  • Worked closely with my team of CNA, Physical Therapist, Occupational Therapist and Social Worker.
  • Performed monthly supervisory visits on LPN s and CNA s. Performed peer review chart audits monthly.
  • Manage CNA's assignment, get reports from licensed nurses and find replacement for call-ins.
  • Supervised CNA'S in the home, LTF or ALF providing direct patient care.
  • Case manager for the Waiver/VA/UMWA Special Programs for patient in need of CNA assistance.

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15. Social Workers

average Demand
Here's how Social Workers is used in Registered Nurse Case Manager jobs:
  • Directed certified nursing assistants in quality patient hospice care and coordinated with social workers to present additional public resources when applicable.
  • Coordinate care among interdisciplinary team including physicians, physical and occupational therapists, social workers, and home health aids
  • Work collaboratively with case managers and social workers that assist patient population with housing voucher programs.
  • Collaborate effectively with interdisciplinary team to include physicians, social workers, and other support staff.
  • Communicated effectively with caregivers, physicians, social workers and the insurance representatives.
  • Scheduled and managed external medical consultations with social workers and other necessary personnel.
  • Performed disease management coordination of care with therapists and social workers.
  • Participate on team of patient/family/physicians/pharmacists/behavioral health and social workers.
  • Collaborate with Social Workers to facilitate discharge process.
  • Teamed extensively with Social Workers.
  • Interacted with Dr's, social workers, chaplain, equipment suppliers, nursing homes, and patients' family members.
  • Coordinated care with medical doctors, psychiatrists, psychologist and social workers as part of a multidisciplinary team approach to care.
  • Provided ongoing physical, emotional, and spiritual support utilizing the hospice team of aides, chaplains, and social workers.
  • Developed goal oriented plans with interdisciplinary teams including primary care physicians, case managers, caregivers, social workers and patients.
  • Direct supervision of all patient care, case management of patients, and supervision of therapists, Social Workers and Aides.
  • Collaborate with all members of the hospice team including social workers, chaplains, and nursing assistants pertinent to primary patients.
  • Collaborate with providers, social workers, Utilization management, behavioral health, medical director to meet the member's needs.
  • Work with team which included:Primary MD, Hospice Medical Director, Social workers, Chaplains, and Bereavement Counselor.
  • Collaborate with hospice team which consists of physicians, medical directors, nurse managers, social workers, volunteers and chaplains.
  • Collaborate with physicians, social workers, chaplains, and home health aides in order to coordinate optimal care for patient.

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16. Medication Management

average Demand
Here's how Medication Management is used in Registered Nurse Case Manager jobs:
  • Performed medication management and/or medication administration.
  • Perform assessment, develop care plan, medication managements and highlight medical conditions that require physician's attention post hospitalization.
  • Serviced adult psychiatric population who required assistance with medication management, diabetic/ wound/ respiratory care and placement of HHA services.
  • Provided education and training to Patients and Family members regarding disease management; medication management; and infection control/disease prevention.
  • Assess and manage palliative care needs for terminally ill patients Emotional support for patients and families Medication management Pain management
  • Perform comprehensive quality management audits of medication management, pain management, care plans and assessments to ensure compliance.
  • Educated both participants and their families on individual diagnoses, disease process, medication management and over-all safety.
  • Assumed responsibility for medication management and collaborated with physicians, facilities, and families to achieve this.
  • Referred to community/military resources, disease management education, medication management, and transitioning through medical board.
  • Provided medication management and set-up for patients who could not take their medications properly without assistance.
  • Provided medical treatments, medication management, health education, and individual counseling and crisis intervention.
  • Performed assessments, disease instruction and review, medication management for adults and elderly population.
  • Provided patient and caregiver education which included safe medication management, symptom and pain management.
  • Provided individualized patient education on medication management, disease processes, therapeutic diets and treatments.
  • Completed physical assessments and medication management of clients and communicated with their physicians as necessary.
  • Case management, client advocate, medication management and education, medical equipment management.
  • Supervised over medication practices, medication management/set up and provided hands on resident care.
  • Provide symptom management through medication management, non-pharmacological interventions, and increased support systems.
  • Ensured members received follow up care for medication management by coordinating transportation when necessary.
  • Focused on promoting patient independence by instructing on disease process and medication management.

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17. Durable Medical Equipment

average Demand
Here's how Durable Medical Equipment is used in Registered Nurse Case Manager jobs:
  • Coordinated services, treatment, consultations, medication orders and delivery of Durable Medical Equipment through collaborative services with physicians.
  • Performed provider searches, durable medical equipment and transportation coordination, behavioral health referrals and Hospice services.
  • Facilitate benefit overrides for medically necessary medications, treatments, transportation services and durable medical equipment.
  • Obtained orders for durable medical equipment and facilitated patient attainment of needed equipment.
  • Educated patients regarding procedures, diagnosis, new medications and durable medical equipment.
  • Implement ordering of new medications and durable medical equipment.
  • Make referrals for durable medical equipment and transportation.
  • Coordinate ordering durable medical equipment and supplies.
  • Managed pharmaceutical and durable medical equipment costs.
  • Coordinated care of complex pediatric cases including home care, durable medical equipment, specialty service providers and primary care.
  • Synchronized home health care services and durable medical equipment, and provided compassionate care and understanding for distressed members.
  • Provided Coordination of Care between Physicians, Nurses, Durable Medical Equipment companies, Therapy, Hospitals, etc.
  • Discharge planning to include obtaining home health, durable medical equipment, home IV antibiotics, oxygen, etc.
  • Evaluated patient needs for services, durable medical equipment, extension of or concurrent treatment and appropriate discharge.
  • Conduct discharge planning screens completed on patients with appropriate home health and durable medical equipment set-up as needed.
  • Arranged discharge needs for NICU patients including follow-up appointments, home nursing care services and durable medical equipment.
  • Process request for home health care services, durable medical equipment and home infusion using CMS criteria.
  • Coordinated resources according to benefit structure, home care and durable medical equipment for safety as needed.
  • Assessed patient for durable medical equipment needs prior to discharge, secure order and delivery of items.
  • Arranged home health care, transfers to skilled nursing facilities, and delivery of durable medical equipment.

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18. Drawing Blood

average Demand
Here's how Drawing Blood is used in Registered Nurse Case Manager jobs:
  • Functioned as clinic RN drawing blood, administering immunizations, performing STD exams, and patient education.
  • Perform required medical services including drawing blood, insert and remove catheters, and execute tracheostomies and gastrostomies.
  • Experienced with the pediatric population especially with calculation of medication and fluid resuscitation, drawing blood and initiating IV access.
  • Administer oral, intramuscular, intravenous and subcutaneous medications, Setting up IV infusion and withdrawing blood for investigations.
  • Administered medications, managed intravenous lines, drawing blood, communicate with physician and observed patient conditions.
  • Used various nursing skills including wound care, medication administration, drawing blood, inserting intravenous catheters, and administering blood.

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19. Picc

average Demand
Here's how Picc is used in Registered Nurse Case Manager jobs:
  • Administered/instructed caregiver on the administration of IV medications via peripheral IV or PICC as ordered.
  • Administered intravenous medications and blood products via PICC line and peripherally inserted lines.
  • Access IVAD/PICC line for administration of medications/nutrition.
  • Performed assessment and evaluation of all systems, medication reconciliation, wound care, and PICC line infusion/Foley catheter management.
  • Experienced in complicated Wound Care management, including wound vac and IV therapy through a PICC line delivery system.
  • Provide teaching to patients/caregivers prior to going home on IV antibiotics and tube feedings, CVL and PICC care.
  • Maintain PICC lines, Central Lines, and Ports and administer IV fluids and infusion therapies per MD orders.
  • Have wound care specialist, available for PICC line or Port care and use, medication evaluation and instruction.
  • Accessed PICC lines, SQ PORTS for med administration, lab and performed peripheral and central line dressing changes.
  • Registered Nurse responsible for admission assessments, PIV and port access, maintaining PICC lines and drawing labs.
  • Maintained all types of IVs including peripheral, PICC, Ports, double ports and central lines.
  • PORT and PICC line care that requires specialized skills and assuming full responsibility for each of patient.
  • Provide IV infusion care, access and maintenance of central lines (PICC lines, Ports)
  • Completed referrals and orders for DME, home health, PICC lines and/or wound vac therapies.
  • Maintained and managed peripheral IV's, PICC Lines, Central Lines, and Port-a-Cath's.
  • Collected lab tests per MD order via peripheral stick, PICC line, and central line.
  • Care of PICC lines, Wound-vacs, lab draws medication education and set up.
  • Maintained PICC lines along with infusions along with patient and family teachings of infusions.
  • Administer IV medications via central lines, PICC lines and peripheral lines per protocol.
  • Decrease number of premature births and /PICC admissions for potentially high risk prenatal population.

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20. Community Resources

average Demand
Here's how Community Resources is used in Registered Nurse Case Manager jobs:
  • Assessed member and clinical information, collaborated with medical team and community resources to develop comprehensive Care Plans, utilizing CareAdvance.
  • Collaborate and facilitate care with other medical management staff, providers, community resources and care-givers to provide additional support.
  • Delivered high-quality and compassionate case management to indigent and low-income patient population, providing community resources and collaboration as needed.
  • Educated members/families, providers, medical staff and/members/families regarding benefits, disease process, appeals process and community resources.
  • Provided referrals to various community resources to include mental health counselors, diabetic education facilities and pharmaceutical assistance programs.
  • Provide members with coordination of benefits, community resources, and referral/authorizations to the appropriate medical physician and/or facility.
  • Conduct telephonic interviews and assessments to engage members in coordination of services and provide education regarding community resources.
  • Direct patient care Wound care Help patient with community resources Communication with physician regarding patient health Oasis C documentation
  • Monitor patients' clinical progress and identify potential discharge needs and community resources early in the hospitalization.
  • Collaborated with a variety of home care and community resources in initiating and coordinating patient discharge planning.
  • Worked collaboratively with physicians and other medical professionals to coordinate patient care utilizing community resources as needed.
  • Provided referrals to the appropriate community resources; facilitated access and communication when multiple services are involved.
  • Demonstrate expertise in the utilization of all interdisciplinary team members, including volunteers and community resources.
  • Informed families and primary caregivers and disease management and recommended community resources for chronically -ill patients.
  • Perform discharge planning evaluations to determine continuing care needs and make appropriate referrals to community resources.
  • Provide counseling as needed for primary caregivers, finding community resources and support as necessary.
  • Prepared and implemented client teaching regarding prevention, disease process management, and community resources.
  • Coordinated community resources and programs to provide assistance to patient and family members as applicable.
  • Coordinated follow-up care with in network specialists and assessed need for additional community resources.
  • Facilitated in finding community resources for members when benefits were non covered or exhausted.

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21. Symptom Management

average Demand
Here's how Symptom Management is used in Registered Nurse Case Manager jobs:
  • Work closely with Pharmacy Consulting Group and Medical Director in managing complicated pain control regimens and other symptom management.
  • Utilize basic nursing skills, including nursing assessment, symptom management, patient/caregiver education and documentation.
  • Utilized expertise in palliative care and symptom management to assist patients in experiencing a peaceful transition.
  • Coordinated medication and dosage changes for immediate symptom management issues with medical director and appropriate pharmacies.
  • Managed communication between physicians and families and monitored symptom management to assure patient comfort and dignity.
  • Reviewed patient medications for most cost effective while maintaining proper symptom management for each individual patient.
  • Collaborated with physician and staff regarding patients status, symptom management and treatment interventions.
  • Provided pain and symptom management to assigned clients in collaboration with interdisciplinary team.
  • Provided quality end-of-life care for terminally ill patients, including superior symptom management.
  • Worked weekends as required for on-call visits to patients/families experiencing symptom management issues.
  • Collaborate with the Medical Director and attending physician on pain/symptom management.
  • Individualized pain and symptom management customized to individuals needs and preferences.
  • Provide individualized symptom management for patients with various diagnoses and symptoms.
  • Provided hands-on care including pain and symptom management and education.
  • Developed plan of care and performed interventions for symptom management.
  • Provide professional pain management and symptom management for hospice patients.
  • Facilitate hospital admission when acute symptom management is necessary.
  • Initiate appropriate symptom management in collaboration with physicians.
  • Anticipate disease progression and implications for symptom management.
  • Specialized in pain and symptom management during end-of-life.

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22. Medication Administration

average Demand
Here's how Medication Administration is used in Registered Nurse Case Manager jobs:
  • Assisted 50 clients with managing their medications, including obtaining necessary prescriptions, medication administration, and monitoring side effects.
  • Performed initial comprehensive assessment, determined DME requirements, documented medication administration record and obtained admission orders from attending physicians.
  • Reviewed medication administration records to ensure that all medication is administered, signed off and documented correctly for assigned participants.
  • Possess excellent clinical skills, including intravenous therapy, medication administration, wound care and infusions of multiple medications.
  • Educated families and patients on Hospice philosophy, while assessing my patients and overseeing medication administration and/or narcotic needs
  • Initiate appropriate preventative and rehabilitative nursing procedures and medication administration as prescribed by the primary care physician.
  • Review physician's orders and medication administration records to ascertain that medications/treatments are administered as ordered.
  • Performed medication administration, set up and teaching and monitoring of client self-administration of medication.
  • Review and edit monthly medication administration records for accuracy and ensure all orders are current.
  • Led Resident Assistant medication training program, conducted classes for prospective medication administration delegation.
  • Completed daily assessments, medication administration, and maintained safety compliant with state regulations.
  • Case Management on site at assisted living facility to include medication administration to patients.
  • Monitored vital signs, ensured safety and supported and coordinated medication administration with physicians.
  • Manage, and monitor psychotropic medication administration under the supervision of the psychiatrist.
  • Provided direct nursing care, medication administration and teaching related to disease process/management.
  • Authorized orders, medication administration, coordination of ancillary services and equipment deliveries.
  • Provided education to patients and families including end-of-life care and medication administration.
  • Performed monitoring, intravenous insertion, dressing changes, and medication administration.
  • Trained non-licensed staff in the process of medication administration under He-M1201 regulations.
  • Instructed board approved Medication Administration Training Program for qualified Assisted Living staff.

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23. HHA

average Demand
Here's how HHA is used in Registered Nurse Case Manager jobs:
  • Supervised/managed care provided per LPN/HHA per protocol.
  • Nurse case manager, educate, train, and supervise PCA / HHAT in accordance with the Department oh Health guidelines.
  • Provided wound care, medication set ups, blood draws for labs, and completed supervision visits for the PCA/HHA's.
  • Coordinated, oversaw and supervised HHA's to ensure plan of care was followed and quality care was being provided.
  • Provide hands on nursing care, supervision of HHA in home, coordination of services with MD and IDG team.
  • Home Care RN, responsible for pt care, admissions, all areas of case management and supervisor of HHA staff
  • Mobilize and coordinate services of therapists, DME vendors, labs, infusion services and arrange for HHA staff.
  • Coordinate patient's care with physical, occupational and speech therapy, HHA, MD, family, etc.
  • Conducted monthly supervisory pediatric home care visits, developed relationships with parents and RN/HHA staff for 22-28 cases.
  • Improved management skills with HHA care, daily scheduling as warranted, and handling problems as they arise.
  • Update HHA plan of care to ensure what the care plan says is actually what the patient needs.
  • Develop, implement and supervise the patients plan of care involving nursing, rehab services and HHA services.
  • Coordinated with community health nurses (CHN's) and HHA's to improve quality patient care.
  • Establish HHA plan of care as well as indirectly and directly supervising the plan of care per regulations
  • Supervised HHA's, LPN's and prepared the written instructions for care provided by HHA's.
  • Conduct and document supervisory CHHA and LPN every 14 days and complete frequency change forms as needed.
  • Assigned and oversaw LPNS and HHAS to each one of my clients as well as doing HHA inspections
  • Direct patient care in CHHA including OASIS assessment, skilled interventions, procedures and tests as ordered.
  • Direct and indirect of paraprofessionals/ HHA every 60 days to ensure proper completion of delegated tasks.
  • Set priorities, manage time efficiently, teach medication and disease process, and supervise CHHA.

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24. Disease Management

average Demand
Here's how Disease Management is used in Registered Nurse Case Manager jobs:
  • Educated patients on disease process, disease management, medications, and facilitated optimal level of functioning within disease limitations.
  • Facilitated referrals to other health programs available such as Disease Management, Behavioral Health, Pharmacists and Lifestyle Management Programs.
  • Advised and educated members on health maintenance and disease management; introduced and integrated process improvement and productivity enhancement strategies.
  • Assume primary responsibility for case management, disease management, and utilization management using managed care guidelines and principles.
  • Redirected patient to their Primary Medical Home, engaging physicians through collaboration and accountability towards chronic disease management improvement.
  • Provide care to patients to facilitate achievement of goal oriented objectives for disease management and prevention of future hospitalization.
  • Developed clinical content for the disease management staff to use for educating patients based on national clinical guidelines.
  • Develop care plan including disease management teaching, planning, and implementation of plan and evaluating effectiveness.
  • Delivered optimal patient/member health care through clinical and behavioral health assessment, triage and chronic disease management.
  • Perform telephonic education to patient and patient's family on disease management and provide resources for intervention.
  • Provide coordination of services and disease management education to Medicare Advantage members, families and caregivers.
  • Examine clinical program eligibility, and disease management programs to assist members to achieve life-long well-being.
  • Educated members and families on disease management and prevention and assisted with self-management or lifestyle changes.
  • Utilized adaptive communication and teaching methods to educate patients and family members on medication and disease management
  • Provided education to clients and caregivers on necessary treatments, medications, and disease management.
  • Interacted with patients and their families to effectively provide disease management information and instructions.
  • Educate patients and families on medication and disease management to reduce hospital re-admission rates.
  • Focused on chronic and acute disease management, promoting patients' independence and self-management.
  • Performed telephonic case management from home, including disease management and cost containment.
  • Provide education and disease management, medication oversight and management for senior population.

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25. Primary Care Services

average Demand
Here's how Primary Care Services is used in Registered Nurse Case Manager jobs:
  • Provided primary care services for infants and children in an acute care unit specializing in airway/pulmonary complications.
  • Deliver continuity-based primary care services low-income patients.
  • Invited by the Department of Veterans Affairs to present a lecture regarding best practices for contracting for primary care services.
  • Provide primary care services to patients in an ambulatory health care setting.
  • Collaborate with volunteer Physicians, Pharmacists, and Nurse Practitioners to deliver primary care services to underserved Adults and Pediatrics
  • Head Nurse Medical / Surgical Hemodialysis RN Outpatient Case Manager Administrative Director for Primary care Services

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26. Pain Management

average Demand
Here's how Pain Management is used in Registered Nurse Case Manager jobs:
  • Educated patients/caregivers on disease process management to include self-care techniques, prevention strategies, medications, nutrition and pain management.
  • Manage several quality management projects such as wound management/prevention and pain management in order to increase overall quality of care.
  • Included symptom and pain management, patient/family education, management/triage of sick calls, coordination of diagnostic tests/procedures.
  • Provided assessments and education to patients and family members regarding pain management, disease progression and management.
  • Collaborate with Medical Director to provide expertise in pain management of symptoms associated with disease progression.
  • Developed Admission Care Plan, administered pain management assessment, and maintained case management records.
  • Documented all pertinent information in patient record, including medication dosage and pain management.
  • Completed review of medications; assessed pain management and need for health care equipment/technology.
  • Provided comprehensive pain management and administered medications in compliance with physician's orders.
  • Administered medications and educated patients and families on medications and pain management techniques.
  • Experienced in pain management, evaluation and assessment of various medical/surgical issues.
  • Developed and implemented pain management care; provided emotional and spiritual support.
  • Performed prescribed medical treatments, including pain management and symptom control.
  • Advanced knowledge in palliative care: Pain Management and Respiratory/anxiety management.
  • Staff education regarding PRN medications and pain management were provided.
  • Completed Certification in Advanced Pain Management therapy techniques.
  • Recognized as specialist in pain management case management.
  • Administered medications and pain management interventions.
  • Conducted bereavement counseling, and pain management
  • Pain management and comfort/palliative care given.

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27. Interqual

average Demand
Here's how Interqual is used in Registered Nurse Case Manager jobs:
  • Complete initial and concurrent reviews for commercial and government insurance using appropriate computer integrated software programs and InterQual criteria.
  • Perform chart reviews to assess appropriate status for observation or inpatient criteria using InterQual criteria and Medicare Coverage guidelines.
  • Utilized McKesson InterQual system for daily utilization review to provide evidence-based clinical decision support.
  • Perform utilization management based on applicable patient care protocols based on InterQual criteria.
  • Communicated with physicians regarding proper admissions criteria, using InterQual.
  • Review patient records using InterQual criteria for appropriateness of admissions.
  • Performed utilization management and discharge management according to InterQual criteria.
  • Utilized MIDAS and InterQual for electronic documentation and hospital utilization.
  • Educated physicians on InterQual Criteria and its application to patient care
  • Authorized inpatient and/or outpatient treatment based on InterQual criteria.
  • Utilize InterQual Criteria for observation and in-patient admission status.
  • Conduct concurrent and retrospective reviews utilizing InterQual criteria.
  • Used InterQual criteria to screen patients for appropriate status and met standard of care in accordance with CMS guidelines.
  • Based on InterQual Criteria, medical history, and current illness, wrote an appeal or accepted current status.
  • Assess and monitor patient's appropriateness for care setting according to LiveSafe and InterQual criteria to be approved.
  • Used evidence based decision making and InterQual to improved quality of care and optimum patient outcomes.
  • Utilize clinical skills, chart review, physician communication, and InterQual standards for approvals.
  • Coordinated discharge, referrals, transfers and inpatient stay in accordance with InterQual criteria.
  • Performed InterQual reviews for MediCal patients each day patient was admitted to the hospital.
  • Use of InterQual Criteria for Severity of Illness and Intensity of Service.

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28. Life Care

average Demand
Here's how Life Care is used in Registered Nurse Case Manager jobs:
  • Served in increasing responsible positions for this hospice services company providing home-based, end-of-life care to patients with terminal medical conditions.
  • Collaborated with other members of Interdisciplinary Team to develop and implement individualized, comfort-focused plans for end-of-life care.
  • Developed individualized plan of care and coordinated optimal end-of-life care for patients.
  • Provided collaborative quality end of life care to individuals and families
  • Provided patient/family education re: end-of-life care.
  • Collaborate with facility, family and hospice team to assist with providing optimal level of comfort during end of life care.
  • Educate clients and families on the differences between curative and palliative care, insurance coverage, and medications for end-of-life care.
  • Assist patient and family in preparing for end of life, teaching family how to provide proper end of life care.
  • Assisted with orientation of new employees and participated in continuous improvement and educational programs about hospice and end of life care.
  • Provide End of Life care including home visits to provide emotional support to family and instruct in use of comfort kit.
  • Provided skilled nursing care in the patient's home and nursing care facilities with direct regard to end of life care.
  • Performed individual and community presentations and education regarding terminal illness, end of life care, and resources or services available.
  • Worked in conjunction with hospice care for multiple individuals providing end of life care ensuring full comfort provided with dignity intact.
  • Organize and manage all disciplines necessary to provide quality end of life care for terminally ill patients and their families.
  • Provide exceptional, quality care and serve as an educator for End of Life Care in patient's own home.
  • Focus entirely on end-of-life care to provide hands-on nursing care around the clock in the patient's home or facilities.
  • Provide nursing assessment of patient care needs, educate patient and families in end-of-life care and assist in care decisions.
  • Manage discomfort and provides symptom relief, and apply specialized nursing skills related to palliative and end of life care.
  • Received orders for patient medications, ordered medication refills, provided patient and family education on end of life care.
  • Provided palliative/end of life care to patients in their homes, assisted living facilities, and/or long- term care facilities.

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29. LVN

average Demand
Here's how LVN is used in Registered Nurse Case Manager jobs:
  • Performed on-site supervision of assigned staff and provided clinical directions to the LVN to ensure quality and continuity of service provided.
  • Admit and discharge patients to services, supervise care delivered by LVN and HHA, and provide needed bedside nursing care.
  • Performed case management tasks such as Case conferencing with LVN and home health aide in performing daily care of patients.
  • Admitted patients, completed all required Medicare documentation time points, provided nursing care, supervised LVN and nurse aides.
  • Coordinate with LVN's, PT/OT and aides to provide optimal patient care to patients in the home setting.
  • Provide orientation to new RN, LVN, and HA, supervise and complete annual competency and skills evaluation.
  • Provided supervisory visits of LVN on duty, assisted with corrections and maintaining of current plan of care.
  • Home visits and supervisory oversight for LVN's and HHA's in home, Hospice and Home Health.
  • Instruct, supervise and evaluate LVN and home health aide care as required by federal and/or state regulations.
  • Nurse Supervisor, teach and assign other nurses RN's, LVN's and home health aide personnel.
  • Case manager conducts supervisory visits of LPN/LVN and CNA/HHA every two weeks in compliance with Medicare Regulations.
  • Supervised LVN's and Home Health Aide to ensure patient's plan of care had optimal outcomes.
  • Provide oversight and guidance to LVN and other assigned staff in the delivery of quality care.
  • Oversee and supervise all LVN's, CNA's, and providers providing care to patients.
  • Managed 54 patients and coordinated and implemented care with 10 LVN's and home health aids.
  • Supervised and provided clinical directions to the HHA/LVN to ensure quality and continuity of service provided.
  • Scheduled activities of RN, LVN, Social Workers, Chaplain and Bereavement and Volunteer Coordinators.
  • Supervised home health aids and LVN's providing support and training in related job duties.
  • Supervised the care provided by the LVN and home health aids to their assigned patients.
  • Participate in interviews for RN's and LVN's and provide input for hiring.

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30. Diabetes

low Demand
Here's how Diabetes is used in Registered Nurse Case Manager jobs:
  • Managed an eleven-client caseload with complex medical problems and chronic illness, including diabetes, hypertension, and neurological disorders.
  • Collaborated/coordinated with quality improvement and patient education committees to revise clinical management guidelines and program-related policies/procedures to improve Diabetes self-management.
  • General assessment and care/case management of Medicare patients including wound care, diabetes, cardiac complications, respiratory treatments.
  • Case manager for individuals recently discharged from the hospital as well as individuals having difficulty managing their diabetes.
  • Provide clinical education and information for nursing staff related to diabetes patient management and quality of care.
  • Developed Diabetes Case Management tracking tool to assist in monitoring progress of patient diabetes self-management.
  • Provided ongoing identification and stratification of members with specific diseases such as Asthma and Diabetes.
  • Coordinated/implemented patient education programs for Diabetes population exceeding 3,000 patients.
  • Implemented and coordinated ongoing staff education program for diabetes.
  • Skilled in providing care and education to patients with CHF, diabetes, wounds of various origins and post surgical care.
  • Educated members on there medical diagnosis and ways to improve there health, better control there Asthma, CHF or Diabetes.
  • Provided holistic nursing care to patients including mental health, wound care, diabetes management and management of multiple co-morbid conditions.
  • Provided patient and family education on home infusion of antibiotics, wound cares, diabetes management, and heart failure management.
  • Lead of pediatric case management team and assisted in design of disease management programs for diabetes, asthma and hemophilia.
  • Provided skilled, intermittent home care services to adults including assessments, wound care, diabetes management and colostomy care.
  • Developed community-based Diabetes Prevention, and Diabetes Class Series based on AADE 7, Implemented diabetes protocols for professional team.
  • Developed multiples educational programs relating to first aid, CPR, Heart disease, Diabetes, and High blood pressure.
  • Provide in home IV therapy, wound care, blood work, catheter changes, diabetes management, etc.
  • Provide education to clients on disease management and progression, diabetes prevention and management, nutrition and treatments.
  • Provide education to patients on a variety of subjects, including hypertension, diabetes, and cancer screenings.

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31. Insurance Companies

low Demand
Here's how Insurance Companies is used in Registered Nurse Case Manager jobs:
  • Communicated effectively with facility directors, medical directors, interdisciplinary team, health care providers, insurance companies and vendors.
  • Maintain communication with commercial insurance payers, managed Medicare and Medicaid sources and conduct daily clinical updates to insurance companies.
  • Provided medical and personal information to insurance companies to obtain authorization for home health or physical and occupational therapy.
  • Called insurance companies with mandatory information regarding client's medical criteria for inpatient as well as outpatient hospitalization.
  • Participated in daily clinical review provided to various insurance companies and facilitation for peer to peer reviews.
  • Communicated with insurance companies to relay pertinent clinical information in order to obtain reimbursements for care rendered.
  • Educate physicians on the guidelines utilized by insurance companies regarding severity of illness and intensity of services.
  • Complete daily utilization review reports and communicate this information to insurance companies and to hospital administration.
  • Provide supervision in office evaluating and acceptance of new patients, obtaining authorization from insurance companies.
  • Provided documentation for insurance authorization and communicated with various insurance companies for managed care patients.
  • Communicated/coordinated pertinent information with primary care physician, pharmacies and insurance companies that assured payment.
  • Worked with insurance companies for authorizations for appropriate discharges and for verification of concurrent stays.
  • Performed Utilization Review and ensured payment for services for the facility from Medicare/Medicaid/Insurance companies.
  • Provided utilization reviews and information to medical insurance companies, hospitals and other facilities.
  • Interact with insurance companies to provide clinical information to obtain authorization for payment.
  • Communicated with insurance companies to achieve certification and authorization for patients' stay.
  • Remain educated on, and follow special instruction requirements for individual insurance companies.
  • Submitted paperwork to regulatory agencies including Medicare, Medicaid and insurance companies.
  • Obtained authorization as needed from commercial insurance companies for those patients affected.
  • Provided clinical updates to insurance companies to negotiate and determine length-of-stay.

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32. Vital Signs

low Demand
Here's how Vital Signs is used in Registered Nurse Case Manager jobs:
  • Performed frequent patient evaluations including monitoring and tracking vital signs.
  • Monitor vital signs and administer medications.
  • Complete medication reviews, bi-annual nursing assessments, assess vital signs and provide education to members regarding their medical conditions.
  • Assessed vital signs and educated patients on diagnosis, and any problems with medications, diets and, or treatment.
  • Perform procedures such as; vital signs, lab work, catheter placement/removal, and wound care per protocol.
  • Perform evaluation tasks, including vital signs and medication review Administer medication as prescribed by the patient's Physician.
  • Monitored vital signs, recent laboratory value, and administered medication through different routes abiding by the 5 rights.
  • Checked/monitored vital signs, mental status, and lab values ensured any changes were reported to physicians as appropriate.
  • Home visits conducted with head to toe assessments, vital signs, medication reviews and patient and family teaching.
  • Administer medications, injections, blood draws, vital signs, health assessments and hospital discharge planning follow up.
  • Make skilled nursing observation of patient status by monitoring and documenting vital signs, blood and urine laboratory values.
  • Obtain and verify all consent forms, monitoring vital signs, daily weight, input-output, dietary intake.
  • Formulated dialysis plan for ultra filtration, initiated dialysis via various accesses, and monitored patient vital signs.
  • Take vital signs, give injections, fill pill boxes, syringes, and perform wound care.
  • Performed initial intake, physical assessments, obtained vital signs, past medical histories, and consents.
  • Performed head to toe assessments, obtained vital signs, vaccinations, IVs, and wound treatments.
  • Administer medication, obtaining vital signs, EKG, UDS, and any required laboratory testing.
  • Help doctors administer medications, monitor vital signs and subtle changes in a patient's health.
  • Monitored basic vital signs: BP, pulse, temp, O2 saturation and pain levels.
  • Home visits to include checking vital signs, collecting labs, checking and caring for wounds.

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33. Care Coordinator

low Demand
Here's how Care Coordinator is used in Registered Nurse Case Manager jobs:
  • Informed the director of clinical services or patient care coordinator of unusual or potentially problematic patient/family issues.
  • Function as care coordinator of the interdisciplinary care team including communication between medical directors and attending physicians.
  • Direct patient care-male/female clients ages 21-elderly* Serve as home health care coordinator
  • Care Coordinator for BPCI (Bundled Payment for Care Improvement) pilot program contracted with Medicare and JMCGH and CHS hospitals.
  • Served in a variety of roles that included, patient care coordinator, responsible for the management of 15-20 hospice patients.
  • Worked closely with physicians, radiologists, referral care coordinators and CM at receiving facilities to coordinate appointments and care.
  • Coordinated with Interdisciplinary Team (Social Worker, Chaplain, Volunteer Coordinator, Patient Care Coordinator, and others).
  • Case manager for the Edmond branch, later Patient Care Coordinator for the Bethany branch until they closed the office.
  • Maintained regular communication with the director of clinical services or patient care coordinator and physician to review patient care.
  • Coordinate care with a multifaceted team, provider's home health agencies, and inpatient care coordinators.
  • Worked with team- social work, nurse practitioner and care coordinators all collaborated for patient care.
  • Functioned as a care coordinator, keeping the needs of the patient and organization in mind.
  • Collaborated with managed care coordinators to obtain insurance coverage for patients & plan for discharge.
  • See above description of Patient Care Coordinator for details as these roles are very similar.
  • Oversee team of aide, social worker, spiritual care coordinator, and therapists.
  • Lead case manager for special needs account and promote team growth with care coordinators.
  • Registered Nurse Care Coordinator, managing the care of clients with disabilities.
  • Served as the Care Coordinator of clients in a home environment.
  • Communicate with PCP's and care coordinators for good patient outcome.
  • Worked in Patient Care Coordinator role in the absence of DOCS.

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34. Emotional Support

low Demand
Here's how Emotional Support is used in Registered Nurse Case Manager jobs:
  • Provided patient care for terminally ill patients including assessments, treatments, administration of medications, education and emotional support.
  • Provide oversight and comprehensive care, education and emotional support coordination with interdisciplinary team for end-of-life patients and their families.
  • Complete patient assessments, evaluate efficacy of medication regimen, provide education and emotional support to patients and families.
  • Offer emotional support and education to patients and families regarding disease progression, medication and treatments available.
  • Educated family and patient on end-of-life process and care, offered patient/family emotional support.
  • Provide focused education and emotional support regarding identified risk factors on a regular basis.
  • Provide family education, emotional support, community referrals, and medication support.
  • Provide behavioral/emotional support to the member to encourage independence and healthy lifestyle choices.
  • Provide emotional support to family members during expiration process and after patient expiration.
  • Provided behavioral/emotional support and supervision for those with severe mental health disorders.
  • Provide compassionate care, emotional support and education to patients and families
  • Provided information, emotional support and reassurance to patients and relatives.
  • Offered and provided emotional support to client/family and facilitated educational goals.
  • Provided patients and families with continued education and emotional support.
  • Provide spiritual and emotional support as needed to family/patients.
  • Provided behavioral/emotional support for those with terminal diagnoses.
  • Provided end-of-life nursing care and caregiver emotional support.
  • Provided compassionate and emotional support to patients/families.
  • Provide emotional support with compassion and understanding.
  • Provide emotional support and provide medical advice.

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35. IDT

low Demand
Here's how IDT is used in Registered Nurse Case Manager jobs:
  • Provide consultation/clinical direction regarding physical/primary care issues for integrated IDT clinical care management team.
  • Communicate effectively with members of hospice IDT to promote team-centered approach to patient/family care.
  • Participate in IDT meetings to certify/re-certify patients for continued care.
  • Complete timely reports and communicate effectively with IDT members.
  • Communicated with interdisciplinary team and attended IDT meetings.
  • Keep in regular communication with members of the IDT ensuring that patient and family needs are met throughout the hospice experience.
  • Provide direct care to patients as prescribed by the Interdisciplinary Team (IDT), assuming primary responsibility for case management.
  • Work closely with members of IDT, including physicians and provide direct patient care in the home and in nursing facilities.
  • Develop and update care plans following each plan of care change and identify any need for intervention of other IDT members.
  • Collaborate with IDT to coordinate hospice care for patient and family to ensure appropriateness, continuity, and quality of care.
  • Communicate with IDT, Medical Director and Attending Physician regarding measures to alleviate symptoms, and monitor response to measures implemented.
  • Provided efficient updates and patient consultation reviews for IDT staff members and supervisory disciplines also assigned to specific patient care team.
  • Assessed, monitored changes and conditions of clients, and provided communication between medical professionals, families, providers and IDT.
  • Participate in IDT meetings and work with the team to assist in determining patient and family care plan and needs.
  • Help patient and families, through end of life, by managing any uncomfortable symptoms in conjunction with the IDT.
  • Attended IDT meetings every two weeks with the Interdisciplinary Team to discuss each patients case and make changes accordingly.
  • Performed IDT meetings every 2 weeks and reputed changes in comfort, symptoms, goal attainment to Medical Director.
  • Team approach with PT/OT/ST/Wound Care RN/PCP/Specialist as well as co-workers, management and Director/Medical Director and participated in IDT.
  • Attend IDT meetings to discuss, plan and evaluate efficacy of current POC, medication regime and symptom management.
  • Develop, coordinate and direct hospice nursing care according to the Interdisciplinary Team (IDT) plan of care.

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36. Medical Records

low Demand
Here's how Medical Records is used in Registered Nurse Case Manager jobs:
  • Performed prospective, concurrent and retrospective review of inpatient medical records and outpatient authorization requests with application of approved criteria.
  • Assessed federal employee members and reviewed medical records to determine eligibility for benefits as well as extension of benefits.
  • Reviewed medical records for quality issues, assessed patient status for undocumented quality concerns, and tracked multiple re-admissions.
  • Review medical records for authorization of inpatient hospital, skilled nursing facility or swing bed admissions.
  • Detailed assessments, care planning, working together with interdisciplinary team, maintain electronic medical records.
  • Reviewed medical records and completed comprehensive reports outlining recommendations and contingency plans on a case-by-case basis.
  • Review Medical Records to identify potential unnecessary services or care delivery setting and recommend alternatives.
  • Complete pa electronic medical records, member assessment documentation, and continuing member progress summaries.
  • Generate quality analysis reports on a monthly basis and auditing nurse documentation for medical records.
  • Reviewed medical records daily for medical necessity for both Medicare and managed care patients.
  • Contributed substantially to medical records and QA/QI department with weekly review of nursing documentation.
  • Review of medical records for proper utilization of military benefits and continuation of care.
  • Conducted regular medical records review/audits to assure quality measures were being followed and maintained.
  • Make decisions regarding approval/denial of claims based on medical records and Official Disability Guidelines.
  • Complete and draft reports and entry of medical information into electronic medical records.
  • Reviewed medical Records for quality improvement and developed plans based on findings.
  • Analyzed, evaluated and interpreted medical records for disability and workers compensation.
  • Maintained extensive documentation of patient medical records in accordance with Medicare regulations.
  • Reviewed medical records for compliance with company policies and federal regulations.
  • Audited medical records for compliance of medical integrity and Quality Improvement.

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37. Copd

low Demand
Here's how Copd is used in Registered Nurse Case Manager jobs:
  • Presented in-service training on Diabetes/CHF/A-fib/COPD/ESRD management.
  • Provided nursing care for patients with diagnosis including: Dementia/Alzheimer, Cancer (various), COPD, and many others.
  • Helped patients rehabilitate from stroke or surgery; managed chronic conditions such as diabetes, heart disease, COPD and arthritis.
  • Position required competency in verbalizing and demonstrated understanding of diabetes, asthma, COPD, CAD, and CHF disease processes.
  • Cared for a variety of patients with skilled needs including wound care, CHF/COPD/Diabetic management, post-surgical and psychiatric conditions.
  • Direct experience with patients dealing with the following clinical issues, COPD, Asthma, CAD, CHF and Diabetes.
  • Managed clients with chronic illnesses such as Diabetes, CHF, COPD, Heart Disease, Kidney Disease and Arthritis.
  • Direct care for patients suffering from CHF, COPD, Diabetes, and Orthopedic Medical conditions in their homes.
  • Work with providers to institute educational programs for patients with chronic diseases such as diabetes, hypertension and COPD.
  • Assisted patients with multiple chronic diagnosis including COPD, Asthma, CHF, CVA, and Renal failure.
  • Provide assistance with medication set up, review of systems, anticoagulant therapy, COPD and other diagnosis.
  • Coordinated care for patients with multiple chronic diagnoses, including COPD, Heart Failure, DM and CVA.
  • Assist patients with multiple chronic diseases including COPD, CHF, Diabetes, cancer, and dementia.
  • Experience with various medical conditions including Parkinson's, dementia, kidney failure, COPD and cancer.
  • Provided education to clients and family in the home setting about their diseases, e.g.CHF, COPD.
  • Educated patients and caregiver information related to their condition (diabetes, COPD, cardiac).
  • Assisted patients with COPD, asthma, heart disease, stroke, hypertension and diabetes.
  • Provide disease management education for special needs population (CHF, DM, COPD).
  • Educated patients and families with multiple chronic diagnoses including COPD, Diabetes, and CHF.
  • Assisted patient's with multiple chronic diagnoses, including COPD, CHF, etc.

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38. Medical Necessity

low Demand
Here's how Medical Necessity is used in Registered Nurse Case Manager jobs:
  • Applied Inter-Qual Criteria to perform initial, concurrent and retrospective chart reviews for clinical appropriateness, medical necessity and treatment.
  • Evaluate new admissions for medical necessity using approved criteria for medical necessity determination and appropriateness of level of care.
  • Follow observation patients daily to determine medical necessity and educate physicians using criteria that would warrant an inpatient status.
  • Performed daily chart reviews to ensure medical necessity and compliance with governmental regulations and industry standards of performance.
  • Review of Private Duty Nursing request for Medical Necessity, following company policy/procedure of approving or denying request.
  • Contributed to the development of medical necessity guidelines by participating in both Commercial and Medicare clinical coverage committee.
  • Evaluate Consult physician advisers to determine the medical necessity and appropriateness of treatment plan goals and objectives.
  • Collaborated with physicians and made recommendation regarding medical necessity for admission, continue stay or alternative treatment.
  • Managed daily caseload of request for coverage defined as clinically complex with the THP Medical Necessity Guidelines.
  • Utilized MCG and InterQual criteria for determining medical necessity, and appealing denied decisions from insurance providers.
  • Generate authorizations and Case management services while determining eligibility and medical necessity of requested health care services.
  • Perform a comprehensive review of retrospective treatment and documentation to make an appropriate medical necessity decisions.
  • Performed clinical data/ record review to support medical necessity for the above listed specific outpatient services.
  • Assess for medical necessity & appropriateness of admissions/ treatments by utilizing InterQual criteria using a multidisciplinary approach
  • Ascertain that admissions meet criteria for appropriateness of care and medical necessity through utilization review.
  • Performed daily concurrent reviews UM assessed benefit eligibility, medical necessity and level of care.
  • Worked consistently with nursing staff and medical director to determine medical necessity for inpatient care.
  • Review for medical necessity/prior authorization with coding specifics based on clinical information from active providers.
  • Prepare referrals not meeting medical necessity or plan language for Medical Director review as appropriate.
  • Referred provider requests to Medical Director when medical necessity is not met based on criteria

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39. Medical Care

low Demand
Here's how Medical Care is used in Registered Nurse Case Manager jobs:
  • Coordinated placement of discharged patients by interacting with top HMO and service provider officials to ensure continuation of quality medical care.
  • Delegated assignments to and established good working relationships with two licensed practical nurses in order to coordinate quality medical care.
  • Coordinate patient care with medical care provider, physical therapy, occupational therapy and medical social worker.
  • Established medical care for clients with behavioral health and co-occurring disorders while working within an interdisciplinary team.
  • Develop and implement cost savings strategies that maintain high-quality medical care while ensuring favorable treatment outcomes.
  • Performed prospective, concurrent, and retrospective reviews to justify medical necessity for requested medical care.
  • Case management responsibilities including coordination of medical care and other applicable services based on individual needs.
  • Assisted patients with treatment and coordinated medical care with outside facilities, including rehabilitation centers.
  • Coordinate the comprehensive medical care for approximately 300 patients with chronic hematological diseases.
  • Provided insurance company adjusters with information on necessity of home medical care.
  • Conducted investigations or reviews into complaints regarding the delivery of medical care.
  • Utilized clinical expertise in direct medical care of terminally ill patients.
  • Review medical treatment to prevent against unnecessary and inappropriate medical care.
  • Coordinate and arrange medical care services for medically complex hospital patients.
  • Manage medical care of approximately 60 people with developmental disabilities.
  • Specialized in medical care coordination of catastrophic injured employees.
  • Devised cost-effective and medically necessary strategies for medical care.
  • Coordinated medical care and facilitated timely return to work.
  • Coordinate medical care with physical and occupational therapists.
  • Managed medical care for medically fragile individuals.

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40. Physician Orders

low Demand
Here's how Physician Orders is used in Registered Nurse Case Manager jobs:
  • Obtained appropriate insurance authorization, physician orders and completed OASIS assessments and concurrent documentation in timely, complete and accurate manor.
  • Collaborate care between physicians emphasizing continuity of care and communication by initiating physician orders correctly and timely.
  • Complete prior authorizations, obtaining signed physician orders and accompanying paperwork necessary for PA approval.
  • Reported findings to attending physician and admitted to hospice according to physician orders.
  • Conduct client admission assessments and obtain physician orders for medications and medical treatments.
  • Direct line of communication with patient physicians and implemented physician orders.
  • Performed wound care and obtained laboratory specimens as per physician orders.
  • Obtained and executed physician orders based on nursing assessment.
  • Document electronically all physician orders and OASIS documentation.
  • Received referrals and obtained physician orders as needed.
  • Provide constant monitoring of physician orders and implementation.
  • Administer medications according to Physician orders.
  • Provided hands-on care, management and evaluation of the care plan, and educated the patient in accordance with physician orders.
  • Admit patients and confer with the physician in developing the plan of care based on physician orders and initial nursing assessment.
  • Provided direct nursing care per physician orders such as TPN, IV Therapy, injections, patient education, and documentation.
  • Identified patient's home care needs, obtained and directed physician orders toward home care, and obtained Insurance authorizations.
  • Devised individualized patient nursing plan of care that corresponded with patient health care needs, personal goals and physician orders.
  • Follow up with members on a regular basis to insure appropriate follow up with appointments, testing, physician orders.
  • Plan, provide, supervise and document competent hospice nursing care for patients in accordance with physician orders.
  • Complete nursing assessments, creates plans of care, and carries out care to patients per physician orders.

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41. CHF

low Demand
Here's how CHF is used in Registered Nurse Case Manager jobs:
  • Skilled Nursing Services: Wounds including wound VAC, Vital Signs, Management of CHF, DM, Liver disease.
  • Served on the CHF committee at UVM@CVPH to provide outside community information to the hospital.
  • Lead clinical staff for institution of CHF PROTOCOL, TAVR Protocol for San Antonio Cardiology.
  • Provided wound care, CHF and cardiac monitoring, urinary catheter care, various drains.
  • Developed order/goals for HCP computer documentation for CHF PROTOCOL, TAVR PROTOCOL AND PLEURIX DRAINS
  • Discharge Planning; Utilization review; Quality Manager over CHF and AMI Core Measures.
  • Performed Core Measures for PNA, AMI and CHF to assist with performance improvement.
  • Collected data for MI, CHF, and Pneumonia core measures as needed.
  • Provided services to patients with the following: Wound care, CHF education.
  • Participated in Ethics Committee and CHF core Measure Committee for outcomes.
  • Monitored patients after post discharge from hospital with diagnosis of CHF.
  • Case Manager for CHF and Renal floors.
  • Instructed staff re documentation of Chf, pain levels, and correct documentation of blood sugars and diabetic teaching.
  • Interview CHF patients readmitted within 30 days in order to better manage future care and hopefully prevent/decrease readmissions.
  • Provide patients with education of Diagnosis such as CHF and medication compliance to prevent readmissions to hospital.
  • Cared for patients with CHF, cancer, Alzheimers, and a variety of other disease states
  • Installed and monitored Telehealth System in conjunction with CHF program.
  • Case managing patients with wounds, joint replacements, ostomies, post-CABG patients, CHF, PICC lines, etc.
  • Keep level of stay down, insurances, Eqhealth, core measures for CHF, Ml, and Pneumonia
  • Assisted in developing chf teleheAlth program.

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42. Staff Members

low Demand
Here's how Staff Members is used in Registered Nurse Case Manager jobs:
  • Provided direction to licensed and non-licensed staff members in activities necessary to provide quality patient care and services.
  • Identified potential risks for re-hospitalizations and facilitated resolution of issues through communication with physicians and senior staff members.
  • Named by several facility staff members and family members for providing exceptional nursing care.
  • Developed/maintained rapport with patients, families, interdisciplinary team and facility staff members.
  • Supervised licensed and paraprofessional staff members and coordinated all care delivery.
  • Participated in Interdisciplinary Team Meetings with other hospice staff members.
  • Trained and provided preceptor interventions to staff members during orientation.
  • Transitioned staff members from written to electronic medical documentation.
  • Improved communication between staff members.
  • Gained Leadership skills through supervision of approximately 25 staff members, including CNA's, LPN's, and RN's.
  • Educated patients, families, and staff members to the special needs of the dying patients and provided support to all.
  • Maintained up-to-date patient records, while communicating regularly with attending physicians, the hospice medical director, and hospice staff members.
  • Conduct crisis intervention, problem solving and education of patient's families and facility staff members caring for dying patients.
  • Coordinate & collaborate with physician and other staff members to ensure the highest quality outcomes through the care delivery process.
  • Based upon the plans they develop coordinators then work with all staff members to ensure the plan is implemented correctly.
  • Modify patient care when needed and collaborate with hospice medical director, attending physician and other pertinent staff members.
  • Worked effectively with physicians and nursing staff and assisted in the training of student nurses and new staff members.
  • Initiated communication with attending physicians, other hospice staff members and referring agencies as needed to coordinate optimal care.
  • Communicate with vendors, veterans, doctors, Health Net and other staff members on a daily basis.
  • Maintained up to date computerized records and communicated with physicians and other hospice staff members and other agencies.

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43. MSW

low Demand
Here's how MSW is used in Registered Nurse Case Manager jobs:
  • Full final visits completed, pronounce death as needed and handle family coping and bereavement in conjunction with MSW and SC.
  • Provide ongoing assessments and oversee PT, OT, HHA, Speech and MSW to assure individuals needs are being met.
  • Assess home situation and environments and determine need for the necessary disciplines, i.e., MSW, HHA, Physical Therapy.
  • Visit frequency and visit plotting, referral to disciplines including PT, OT, ST, MSW and Home Health Aid.
  • Collaborate with M.D., Pharmacy, MSW, Chaplin, and Coroner during process of death and dying of hospice patients.
  • Work on a team with a physician, MSW, chaplain and therapies to provide the best care for patients.
  • Coordinated care with other members of the care team including Physical Therapy, Occupational Therapy, MD and MSW.
  • Work in team setting to include LPN's, Physical/Occupation Health, MSW, Pastor and Home Health Aids.
  • Refer patient to other interdisciplinary team such as MSW, PT, OT, Psych nurse, etc.
  • Participated in the development and presentation at the Annual Convention of HPNA and AAHPM with Physicians and MSW.
  • Conduct and collaborate with MSW home, hospital, SNF and health care center visits when needed.
  • Case Management, including referral to PT, OT, ST, MSW and HHA as indicated.
  • Request additional involvement of PT, OT, MSW, HHA, based on assessed needs.
  • Collaborate with the primary care team of MD, MSW, chaplain, and clinic manager.
  • Provide extended support to those families in need and direct them to MSW for further support.
  • Worked closely with other disciplinary such as, MSW, PT, OT and speech therapies.
  • Participated in discussion on patient's needs with MSW, hospice chaplain, CNA and volunteers.
  • Worked with an inter-disciplinary team consisting of PT/OT/ST/MSW to improve quality of life of patients.
  • Referred patient's requiring specialized skills to PT, ST, OT and MSW.
  • Collaborate care of patients with physical, occupational therapist, MSW, and physicians.

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44. POC

low Demand
Here's how POC is used in Registered Nurse Case Manager jobs:
  • Intervene as necessary according to the developed POC and contact appropriate medical professionals in emergency situations.
  • Develop and implement an individualized POC in collaboration with the physician and other disciplines.
  • Prepared bimonthly patient care summaries/updates and participated in team conferences regarding patient's POC.
  • Experienced with computer medical documentation in POC system.
  • Managed patient plan of care (POC) including family/care giver instruction, patient assessments, evaluations, and safety issues.
  • Perform nursing assessments, formulate POC for each patient, coordinate patient care, and carry out medical regimens ordered by physicians
  • Develop and implement individual patient POC, acts as patient advocate while working in collaboration with all patient care team.
  • Conducted and documented assessments, evaluations and other related forms, as well as verbal orders and changes in POC.
  • Comply with POC and assessment and reassessment of patients' needs and continuity of services by appropriate health care personnel.
  • Assess patient condition to identify additional services needed and prepare a plan of care (POC) form listing treatments.
  • Develop a POC that corresponds with the physicians orders through assessment of patient's needs, condition, and environment.
  • Participated in weekly case conferences, (IDG) with input into POC for all patient's on service.
  • Collaborate with IDG to ensure that POC is appropriate for patients and that patients maintain optimal quality of life.
  • Work closely with interdisciplinary team to develop, implement, and review the plan of care (POC).
  • Manage the POC of terminally ill patients in assisted living, long term care facility, and home settings.
  • Developed and updated care plans following each POC change and ensures updates are made from the psycho-social staff.
  • Teach patient and family necessary treatments, procedure, medication regimen, and comfort measures according to POC.
  • Direct supervision of LPN's as well as HHA's and homemakers that are part of the POC.
  • Contributed to Palliative Care conferences, assisted in conducting groups meetings, and established individual and POC goals.
  • Established POC's with family and physicians, monitoring, assessing, documenting changes in health status.

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45. Appropriate Level

low Demand
Here's how Appropriate Level is used in Registered Nurse Case Manager jobs:
  • Provide clinical oversight for hospitalized patients to determine appropriate level of care and medical necessity of admissions and continued stays.
  • Performed initial and concurrent reviews on medical and surgical inpatients to determine medical necessity and appropriate level of care.
  • Conduct initial and concurrent review to assist in medical necessity determination and appropriate level of care.
  • Determine appropriate level of care and utilization of services while ensuring quality cost effectiveness of services.
  • Collaborate with Physicians in determining appropriate level of care for patients not meeting inpatient criteria.
  • Obtained authorization for post-hospital care at appropriate level to ensure continuity and maximize patient outcomes.
  • Perform utilization reviews to ensure appropriate levels of care appropriate reimbursement of services
  • Develop Patient Specific Plan of Care-Determine Appropriate Level of Care-Coordinate/Consult Physicians and Clinicians
  • Identified appropriate level of care utilizing clinical and personal expertise.
  • Assess then identify their needs and provide information and assistance regarding the appropriate level and type of services for that need.
  • Worked closely with physicians to determine appropriate level of care and services based on patient needs as well as financial impact.
  • Apply specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient's eligibility.
  • Collaborated with physician, family, and patient in planning care and ensuring safe discharge to appropriate level of care.
  • Utilize InterQual criteria to ensure that patients meet the appropriate level of care for admission, stay, and discharge.
  • Assist with the discharge planning process with hospital and/or other appropriate level of care staff by ensuring adequate and appropriate.
  • Provided transition of patients to appropriate levels of care coordinating services in order to meet the needs of the member.
  • Developed, initiate, and coordinate individual patient case management plans to ensure appropriate level of care across the continuum.
  • Reviewed member's severity of illness vs intensity of services using InterQual criteria to determine the appropriate level of care.
  • Collaborated with physicians and the care team to ensure patients were receiving the appropriate level and quality of care.
  • Review patient status, educate patient on self management and ensure appropriate levels of post care education are provided.

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46. Chart Audits

low Demand
Here's how Chart Audits is used in Registered Nurse Case Manager jobs:
  • Completed all required documentation according to VC policy, procedures and guidelines; participated in monthly chart audits and documentation review.
  • Performed regular chart audits to determine appropriateness of care and staff compliance with documentation regulatory requirements, i.e.
  • Performed chart audits for appropriateness of care and for compliance with Medicare/Medicaid and other third-party reimbursements.
  • Participate in Quality Assurance Program, including chart audits and quarterly reporting to management team/corporate offices.
  • Participated in Performance Improvement and Quality Assurance activities as required, including frequent chart audits.
  • Maintain patient records and participate in chart audits and other quality improvement activities.
  • Performed chart audits and collected/analyzed data to promote accurate patient education and assessment.
  • Performed chart audits to ensure Medicare/Medicaid and other third-party reimbursement relativity and compliance.
  • Conducted quality management chart audits for the quality management department.
  • Chart audits for compliance with CMS/Medicare/Medicaid regulatory standards.
  • Perform chart audits for appropriate and timely documentation.
  • Conducted annual RN physical assessments/Chart audits
  • Performed and participated in quarterly chart audits, monthly UM meetings, weekly complex care meetings and weekly physician meetings.
  • Worked closely with the DON to perform chart audits and to implement processes that will help improve out comes.
  • Assist In-Office with chart audits, supervisory roles, coding for billing, following-up with MD communication and orders.
  • Perform chart audits and site reviews of providers and candidates requesting to be credentialed for the IBS panel.
  • Chart audits, ensured proper coding and scoring of OASIS in order to be paid correctly by CMS.
  • Conduct chart audits, make quarterly reports on patient diagnosis based criteria for cooperation in patient care.
  • Performed daily chart audits for core measures, blood transfusions, and other various quality improvement areas.
  • Performed all required chart audits for accuracy, performed, quarterly reviews for compliance and clinical quality.

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47. ST

low Demand
Here's how ST is used in Registered Nurse Case Manager jobs:
  • Performed skills consistent with agency/procedure/protocol.
  • Provide assistance to severely injured military members and veterans transitioning from Department of Defense to Department of Veterans Affairs medical facilities.
  • Facilitate authorizations of care as appropriate within the members benefit structure, utilizing appropriate medical policy and MCG approval criteria.
  • Maintain all required documentation in the appropriate electronic systems on a timely basis, per established policy and procedure.
  • Provided education to physician and staff regarding the case management role and documentation requirements in accordance with regulatory agencies.
  • Authorize medical treatment and associated diagnostic testing on assigned claims as allowed by state or policy jurisdictions.
  • Collaborated and coordinated patient medical services with Primary Care Physicians, Behavioral Health, specialist and vendors.
  • Manage large case-loads in a fast-paced consistently changing environment while utilizing clinical expertise and excellent nursing judgment.
  • Worked independently and exhibited strong leadership qualities by producing excellent results efficiently without outside direction or management.
  • Worked in a self-directed environment and demonstrated the ability to work with minimal supervision.
  • Maintain appropriate documentation accordance to organization, state and federal compliance rules and regulation.
  • Developed relationships with hospital staff to ensure appropriate management of the injured employee.
  • Coordinated admissions and referrals for patients requiring long- term care and additional assistance.
  • Develop strong community relations through networking and liaison representation with referral agencies.
  • Administer medications, prepare equipment and assist during examinations and treatments.
  • Sound ethical and independent decision making ability consistent with medical protocols.
  • Coordinated episodic care to eliminate unnecessary cost and ensured optimal outcomes.
  • Completed 24 hour post hospital discharge telephonic calls with medication reconciliation.
  • Facilitated monthly staff meetings, communicating changes in protocol and procedures.
  • Assisted clients to obtain discounted medications through participating drug companies.

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48. MDS

low Demand
Here's how MDS is used in Registered Nurse Case Manager jobs:
  • Prepared regulatory MDS 2.0 and Developed comprehensive care plan with coordination of multidisciplinary team.
  • Serve as educational resource for MDS eligibility and other administrative issues.
  • Completed Comprehensive Fall assessment and Safety Risk Data Collection for MDS
  • Completed MDS assessments/interviews, input patient information utilizing RCS programs.
  • Assumed additional responsibilities as assigned by supervisor.MDS certified,
  • Fulfilled the role of MDS Coordinator/Case Manager, with the responsibility of maximizing reimbursement, maintaining schedules and submissions.
  • Complete MDS-HC and submit via the Virtual Gateway per department process to ensure appropriate rating category is achieved.
  • Utilize MDS 3.0 process in conjunction with the RAI process to formulate care plan specific to resident.
  • Schedule all MDS and review all Residents and records for changes and make recommendations for resident needs.
  • Developed plan of care for residents based on assessments conducted and needs identified through the MDS process.
  • Performed assessments using MDS 2.0 and developed care plans for skilled and intermediate patient population.
  • Completed the MDS, led the care plan team, contact person for family members.
  • Participated when needed with MDS audits and substituted for MDS Coordinator at PPS meetings.
  • Maintained current MDS status of each resident per OBRA/Medicare PPS federal and state guidelines.
  • Performed MDS Assessments for reimbursement purposes in a 113 bed Long Term Care facility.
  • Coordinate completion of MDS sheet for swing bed patients, and submission to CMS.
  • Conduct and coordinate the development and completion of the resident assessment (MDS).
  • Examine and validate MDS data prior to transmission to US Federal regulators.
  • Gather all pertinent information that was needed to complete the MDS process.
  • Transmit MDS assessments through CMS to be transmitted to TMHP for approval.

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49. Intake Assessments

low Demand
Here's how Intake Assessments is used in Registered Nurse Case Manager jobs:
  • Perform intake assessments on potential patients and coordinate admission with hospice medical director and primary care physicians as needed.
  • Conducted intake assessments through interviews with patients and relatives to gather case history, plans and provides nursing care for patient.
  • Provided weekly reports, assisted with Intake assessments, Hospice admissions, and weekly staff education and case conference meetings.
  • Offer intake assessments for newly diagnosed, transferring care, post incarceration and those lost to care.
  • Performed client intake assessments, developed plan of care including medical interventions and measurable goals or outcomes.
  • Conduct in home intake assessments, reassessments for authorizations, post hospital assessments, and incidents.
  • Served as the intake nurse as needed and performed intake assessments on prospective patients.
  • Performed intake assessments, developed plans of care for individual clients.
  • Complete HIV Intake Assessments, Acuity Scale and TART Assessments.
  • Perform head to toe intake assessments and Oasis charting.
  • Performed initial and ongoing client intake assessments.
  • Complete initial comprehensive intake assessments, weekly assessments, and recertification documentation on an ongoing basis.
  • Completed intake assessments with patients and drafted community re-entry plans following treatment.
  • Reviewed and entered new admission intake assessments utilizing Interqual criteria.

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20 Most Common Skill for a Registered Nurse Case Manager

Patient Care20.2%
RN8.6%
Disease Process8.6%
Medicare6.4%
Medicaid6.4%
IV6.2%
Treatment Plans6.2%
Providers5.9%

Typical Skill-Sets Required For A Registered Nurse Case Manager

RankSkillPercentage of ResumesPercentage
1
1
Patient Care
Patient Care
15.2%
15.2%
2
2
RN
RN
6.4%
6.4%
3
3
Disease Process
Disease Process
6.4%
6.4%
4
4
Medicare
Medicare
4.8%
4.8%
5
5
Medicaid
Medicaid
4.8%
4.8%
6
6
IV
IV
4.7%
4.7%
7
7
Treatment Plans
Treatment Plans
4.6%
4.6%
8
8
Providers
Providers
4.4%
4.4%
9
9
LPN
LPN
3.2%
3.2%
10
10
Physical Therapy
Physical Therapy
2.6%
2.6%
11
11
Utilization Review
Utilization Review
2.1%
2.1%
12
12
Health Aides
Health Aides
1.9%
1.9%
13
13
Hospice
Hospice
1.9%
1.9%
14
14
CNA
CNA
1.9%
1.9%
15
15
Social Workers
Social Workers
1.8%
1.8%
16
16
Medication Management
Medication Management
1.8%
1.8%
17
17
Durable Medical Equipment
Durable Medical Equipment
1.7%
1.7%
18
18
Drawing Blood
Drawing Blood
1.6%
1.6%
19
19
Picc
Picc
1.5%
1.5%
20
20
Community Resources
Community Resources
1.5%
1.5%
21
21
Symptom Management
Symptom Management
1.5%
1.5%
22
22
Medication Administration
Medication Administration
1.4%
1.4%
23
23
HHA
HHA
1.3%
1.3%
24
24
Disease Management
Disease Management
1.3%
1.3%
25
25
Primary Care Services
Primary Care Services
1.2%
1.2%
26
26
Pain Management
Pain Management
1.2%
1.2%
27
27
Interqual
Interqual
1.2%
1.2%
28
28
Life Care
Life Care
1.2%
1.2%
29
29
LVN
LVN
1.1%
1.1%
30
30
Diabetes
Diabetes
1.1%
1.1%
31
31
Insurance Companies
Insurance Companies
1%
1%
32
32
Vital Signs
Vital Signs
0.9%
0.9%
33
33
Care Coordinator
Care Coordinator
0.9%
0.9%
34
34
Emotional Support
Emotional Support
0.9%
0.9%
35
35
IDT
IDT
0.8%
0.8%
36
36
Medical Records
Medical Records
0.7%
0.7%
37
37
Copd
Copd
0.7%
0.7%
38
38
Medical Necessity
Medical Necessity
0.7%
0.7%
39
39
Medical Care
Medical Care
0.7%
0.7%
40
40
Physician Orders
Physician Orders
0.7%
0.7%
41
41
CHF
CHF
0.7%
0.7%
42
42
Staff Members
Staff Members
0.6%
0.6%
43
43
MSW
MSW
0.5%
0.5%
44
44
POC
POC
0.5%
0.5%
45
45
Appropriate Level
Appropriate Level
0.5%
0.5%
46
46
Chart Audits
Chart Audits
0.5%
0.5%
47
47
ST
ST
0.5%
0.5%
48
48
MDS
MDS
0.4%
0.4%
49
49
Intake Assessments
Intake Assessments
0.4%
0.4%

140,246 Registered Nurse Case Manager Jobs

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