Case Manager- Neuromuscular Program

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Job Title: Case Manager- Neuromuscular

Work Schedule: Full-Time

Job Summary

Responsible for providing clinical expertise and consultation, clinical care coordination and case management, patient and family education, program development and leadership, quality improvement and research for our Neuromuscular pediatric patients within our Neurosciences Department.

Essential Functions

Clinical Expertise and Consultation

• Provide expert nursing consultation related to neuromuscular disorders and complex care needs
• Support providers and interdisciplinary teams through clinical guidance and evidence-based recommendations
• Advocate for patients and families to ensure equitable access to services and resources

Clinical Care Coordination and Case Management

• Coordinate and manage care for patients with neuromuscular disorders across outpatient, inpatient, and community settings.
• Includes clinic coverage and care coordination.
• Monitor patient progress, identify barriers to care, and develop solutions to optimize outcomes.
• Facilitate referrals, authorizations, community resources, and transitions of care to adult care
• Assist clinic coordinator with multimillion dollar prior authorizations for gene-therarpy
• makes changes in treatment within the scope of practice
• collaborates with the multidisciplinary team in the establishment of goals and implementation of the plan of care
• identifies and communicates potential solutions to variances
• implements identified solutions.
• Aids with EPIC In-Basket that supports providers and the nurse clinician within the Neuromuscular team

Patient and Family Education

• Assess educational needs of patients and families and develop individualized teaching plans.
• Provide education regarding disease processes, treatments, medications, equipment, and community resources.
• Develop and present formal educational programs and informational materials.
• Utilize family-centered care principles and learning theories to address barriers to understanding and engagement.
• Synthesizes and evaluates the individualized patient/family responses along the continuum of care

Program Development and Leadership

• Assist in the development, implementation, coordination, marketing, and evaluation of neuromuscular program initiatives.
• Analyze program outcomes and identify opportunities for improvement and growth.
• Participate in strategic planning and initiatives that support divisional and organizational goals.
• Lead or support projects designed to improve patient care, operational efficiency, and patient satisfaction.
• Negotiates systems, plans and directs the implementation of change related to program plans and standards.
• Provides leadership in the assessment, development and implementation of policies and procedures

Quality Improvement and Research

• Participate in quality improvement activities and outcome measurement initiatives.
• Utilize current evidence and research findings to guide clinical practice.
• Assist with implementation of best practices and evidence-based care models.
• Support data collection, program evaluation, and performance improvement activities.

Professional Development

• Maintain clinical competency and specialty knowledge related to neuromuscular disorders.
• Participate in continuing education, professional development activities, and professional organizations.
• Serve as a mentor and educational resource for staff and learners.
• Anticipate and respond to emerging community and patient care needs.
• Attend yearly neuromuscular conference

Education

Associate's Degree required

Bachelor's Degree BSN or MSN preferred

Preferred Experience

• Neurology or neuromuscular disease management.
• Ambulatory specialty clinic operations.
• Care coordination for patients with chronic or complex medical conditions.
• Quality improvement, program development, and patient education initiatives.

Knowledge, Skills and Abilities

Requires independent judgment to develop, implement and monitor nursing care practices in area of expertise in order to ensure quality care and cost effective service.

Knowledge of pediatric growth and development, physical and psychosocial assessment and health history taking skills, and knowledge of disease process.

Refined interpersonal and communication skills necessary to work collaboratively and harmoniously with interdisciplinary health team members, children, and their families and to represent the organization and serve consumers in a professional manner and promote a positive image of the organization and its services.

Licenses and Certifications

• BLS-Basic Life Support Healthcare Provider - American Heart Association/American Red Cross/National Safety Council required
• License RN-Registered Nurse (30) - State of Wisconsin required

Patient Care Responsibility

• Provides care appropriate to patient population and as described in applicable policies and procedures.

Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.

Certifications/Licenses:

BLS-Basic Life Support Healthcare Provider - American Heart Association/American Red Cross/National Safety Council, License RN-Registered Nurse (30) - State of Wisconsin