Nurse Case Manager job description
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What does a Nurse Case Manager do?
The Nurse Case Manager plays a key role in coordinating patient care to ensure high-quality healthcare services while optimizing resource utilization. This position is essential in achieving positive patient outcomes and maintaining efficient healthcare operations by managing patient treatment plans and collaborating with medical teams.

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What are the Key Responsibilities of Nurse Case Manager
- Assess patient needs and develop individualized care plans.
- Coordinate healthcare services across various departments and providers.
- Monitor patient progress and adjust care plans as necessary.
- Advocate for patient wellness and necessary interventions.
- Collaborate with healthcare professionals to optimize patient treatment.
- Educate patients and families on healthcare plans and resources.
- Ensure compliance with healthcare regulations and procedures.
- Document case management activities and patient outcomes.
What are the Skills and Requirements for a Nurse Case Manager?
- Strong clinical assessment and care planning abilities.
- Excellent communication and interpersonal skills.
- Problem-solving and critical-thinking abilities.
- Knowledge of healthcare regulations and compliance standards.
- Proficiency in healthcare software and case management tools.
- Ability to work collaboratively in a multidisciplinary team.
What are the KPIs to track for Nurse Case Manager?
The performance of a Nurse Case Manager is assessed by evaluating patient satisfaction scores, successful care plan implementation, and adherence to healthcare policies and efficiency in resource management.
Patient Satisfaction
Improvement in patient satisfaction and feedback scores.
Care Plan Compliance
Successful implementation and adherence to individualized care plans.
Resource Management
Efficient utilization of healthcare resources and services.
Reports to
Director of Nursing
Collaborates with
Physicians, Social Workers, Physical Therapists
Leads
Nursing Assistants
Are any specific tools or software required for the Nurse Case Manager role?
- Electronic Health Record (EHR) software
- Care management systems
What is the qualification of Nurse Case Manager?
Bachelor's degree in Nursing with valid RN license; 3-5 years of clinical nursing experience, preferably in case management or care coordination roles.
