Decypher is a leading integrator of professional, technology, and management solutions and services. We provide our services globally to Federal, Commercial, Local and State clients. Our employees are our most valuable asset and play an integral role in the success of Decypher and our clients. Working at Decypher is not a job, but a career where your talent and energy is respected, and you can personally make a difference. Decypher invites you to join our professional team.Applicants must be located near to potential work site:Landstuhl, GermanySembach, GermanyKatterbach, GermanyGrafenwoehr, GermanyVilseck, GermanyStuttgart, GermanyGarmisch, GermanyBaumholder, GermanyKaiserslautern, GermanyWiesbaden, GermanyRamstein, GermanySpangdahlem, GermanyGeilenkirchen, GermanyAnsbach, GermanyHohenfels, GermanyShape, BelgiumVicenza, ItalyAviano, ItalyNaples, ItalyLakenheath, UKAlconbury, UKKlein Brogel, BelgiumVolkel AB, NetherlandMinimum Qualifications:Degree: Associates Degree of Nursing.Education: Graduate from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE) or as otherwise outlined in the TO.Certification: Possess one of the following certifications:Commission for Case Manager Certification Certified Case Manager (CCM)Certification of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS)Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN)American Board for Occupational Health Nurses Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse-Specialist (COHN-S).National Board for Certification in Continuity of Care: Advanced Certification in Continuity of Care (ACCC)Commission on Rehabilitation Counselor Certification: Certified Rehabilitation Counselor (CRC)American Nurses Credentialing Center Nurse Case Manager (RN-NCM)National Academy of Certified Care Managers: Care Manager Certified (CMC)Experience: Minimum of two (2) years recent experience within the last four (4) years in professional nursing. Under Case Manager (CM) requires minimum of two (2) years recent experience (within the last four (4) years) in professional nursing or CM. Under Utilization requires six (6) years of broad-based clinical nursing experience and previous experience in UM is preferred. Must possess the necessary knowledge, skills and computer literacy to interpret and apply medical care criteria, such as InterQual or Milliman Ambulatory Care Guidelines. Must possess experience in performing prospective, concurrent, and retrospective reviews to justify medical necessity for medical care. The Contractor shall have a working knowledge of Ambulatory Procedure Grouping (APGs), Diagnostic Related Grouping (DRGs), International Classification of Diseases-Version 9 (ICD- 9), and Current Procedural Terminology-Version 4 (CPT-4) coding. Contractor personnel shall have a minimum of two (2) years of recent experience (within the last four (4) years) in nursing.Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse as required in the TO. The professional license must allow the holder to legally and independently practice without the supervision of another licensed professional.This job description is not intended to be all inclusive. Therefore, the employee may be requested to perform other reasonable duties as assigned by the immediate supervisor or other management as required.Required Skills/AbilitiesParticipate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case management (CM) standards of care.Provide nursing expertise about the CM process, including assessment, planning, implementation, coordination, and monitoring. Identify opportunities for CM and identify and integrate local CM processes.Develop and implement local strategies using inpatient, outpatient, onsite and telephonic CMDevelop and implement tools to support case management, such as those used for patient identification and patient assessment, clinical practice guidelines, algorithms, CM software, and databases for community resources.Integrate CM and utilization management (UM) and integrating nursing case management with social work case management.Maintain liaison with appropriate community agencies and organizations.Accurately collect and document patient care data.Develop treatment plans including preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to ensure continuity of care toward the goal of optimal wellness.Establish mechanisms to ensure proper implementation of patient treatment plan and follow-up post discharge in ambulatory and community health care settings.Provide appropriate health care instruction to patient and/or caregivers based on identified learning needs.At Decypher we believe that equal opportunity fuels innovation by using the strengths of individual differences. Therefore, we strive to provide a welcoming and inclusive work environment. Decypher is fully committed to a program of equal opportunity for all applicants and employees and will actively carry out all federal and state regulations and executive orders. We apply our equal opportunity policy to all employment decisions.This position is not authorized for remote/telework