RN Case Manager - Home Healthcare

Description

Salary: $80,000 per year or more depending on experience

Area of Coverage: Roane County and Cambell County, Tennessee

Full-Time, Monday-Friday

*Participates in On-Call Rotation

Benefits Summary:

• •Medical, dental, vision, and 401K
• •Health Savings Account
• •Matching 401k
• •Unlimited Paid Time Off (PTO)
• •Mileage reimbursement

SUMMARY

The RN Case Manager is responsible for overseeing the delivery of coordinated care for a patient and/or an assigned group of patients. Additionally, this position is responsible for the day-to-day management and supervision of the related clinical care activities within the area the Case Manager services.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following: Employee must have regular attendance/punctuality, be able to work with others at all levels of the Company, have exceptional customer service, and demonstrate a comprehensive in-home clinical knowledge base. Other assigned duties include:

• •Provides accurate and complete documentation with rationale to ensure reauthorization of patients.
• •Delivers services in the field or away from assigned office 50% of the time. Field activities include tasks such as: in-home RN scheduled visits, attending physician appointments.
• •Assists in the implementation of the Plan of Care (‘POC’) and any amendments to the POC as needed.
• •Conducts the orientation of new staff and coordinates them starting in patients’ homes.
• •Serves as a resource to new staff for training and follow up after training to ensure staff satisfaction and retention.
• •Submits all nursing documentation timely per company policy
• •Completes assigned chart reviews as assigned within established time frames and follows up and councils’ staff on documentation issues as necessary and ensure documentation is turned in on time.
• •Establish and promote a collaborative relationship with patient, physicians, payers, and other members of the healthcare team.
• •Assist authorization team to collect and communicate pertinent, timely information to payers to ensure reauthorization of patient’s home health care services.
• •Actively involved in the process improvement activities to achieve the optimal clinical, financial, operational, and satisfaction outcomes.
• •Participates in assigned quality assurance committee(s) and interdepartmental projects when needed or requested.
• •Demonstrates current knowledge of Payor policy and procedure(s).
• •Assist with state survey preparation and implementation and act as the backup administrator as assigned.
• •Other duties as assigned.

SUPERVISORY RESPONSIBILITIES

This position has direct supervisory responsibilities. This position will perform supervisory visits as needed.

Requirements

EDUCATION and/or EXPERIENCE

Required:

• •Associate's or Bachelor’s degree in a related field
• •Current Registered Nurse (RN) license
• •Current Basic Cardiac Life Support and CPR certification
• •At least three (3) years of experience as a Registered Nurse
• •At least one (1) year of case management experience

Preferred:

• •Home health experience strongly preferred
• •Department of Labor / EEOICPA experience preferred
• •Supervisory experience preferred

Other Requirements: Maintain current state licensure. Maintain current liability and malpractice insurance, if applicable.

CERTIFICATES, LICENSES, REGISTRATIONS, & MEDICAL REQUIREMENTS

• •Valid Driver’s License
• •Active RN License

CLEARANCES The following background checks are conducted:

• •Criminal background
• •Driving Record
• •OIG Exclusion List
• •Sex Offender Registry

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