Nurse Case Manager Sample Clauses
Nurse Case Manager. NCM must be licensed by the State of California in good standing and have two years of experience as an RN, within the last five years, with at least one year in community nursing. NCM will preferably have a Bachelor of Science Degree in Nursing or have a Public Health Nurse certificate.
14.2.1 NCM will conduct the initial nursing assessment within 15 days prior to enrollment.
14.2.2 Each client will receive a minimum of one nursing visit every 60 days. Clients who are in medical crisis or who are at the end stages of their condition may receive daily visits as necessary.
14.2.3 NCM will identify adverse findings during initial assessments and take appropriate actions in accordance with policies and procedures.
14.2.4 NCM will perform assessments regarding the following: health status, vaccinations, nutrition, medications and medication adherence, engagement in care, medical comorbidities, quality of life, and mental health (including depression screening).
(1) NCM will determine what vaccinations the client needs and administer them in the home.
(2) If NCM determines that a client is having adherence problem, they will work with the client, provider, and pharmacist to determine approaches to improve adherence, including but not limited to medication changes, use of pill boxes and reminders, scheduled home delivery of medications.
14.2.5 NCM will assess each client's functional status.
(1) The CFA score will be used for the functional assessment of adult clients.
(2) NCM, in conjunction with SWCM, will complete the CFA score and symptoms related to HIV Disease, HIV Disease treatment, or AIDS.
(3) NCM must sign, initial, and date the CFA document.
14.2.6 NCM will document information during initial and ongoing assessments in accordance with policies and procedures.
14.2.7 NCM will make all appropriate referrals and linkages to needed services.
14.2.8 NCM will conduct reassessments at least once every 90 days or sooner if significant changes to the client’s condition occur. If the patient had been recently hospitalized or evaluated in an Emergency Department or Urgent Care setting, NCM will perform an in-person reassessment within one business day of the hospitalization of Emergency Department or Urgent Care setting evaluation to determine patient’s post-release needs such as medication reconciliation, education, and arrangement of follow-up appointments.
14.2.9 NCM or SWCM will conduct a home environment assessment. Reassessments will be conducted annually ...
Nurse Case Manager. The JC shall maintain a panel of Nurse Case Managers (“NCM”) who are responsible for (i) processing, facilitating or evaluating injured members’ claims, (ii) answering medical questions and interacting with medical providers as medically appropriate, and (iii) facilitating the provision of the best possible medical care as efficiently as possible. The NCM shall contact the injured member within 24 hours of receiving a claim and will both promptly respond to any contact by an injured member and shall remain accessible to injured members throughout the process of their open claim. The dissemination of information from any communications between the NCM and the City representative is subject to the privacy rights of the injured worker. This Agreement is not meant in any way to abrogate, impair, or curtail the privacy rights of an injured member.