RN Case Manager

Since 2012, Giving Home Health Care has been supporting individuals impacted by health conditions related to their work in nuclear facilities for the Department of Energy. With a focus on personalized, in-home care, we are committed to assisting those who have dedicated their careers to these vital roles. As a fast-growing, leading provider, we proudly serve patients across Arizona, Colorado, Kentucky, Missouri, Nevada, New Mexico, Tennessee, Texas, and Utah. If you’re a compassionate individual who puts patients first and thrives in a mission-driven, collaborative environment, we want you to join our team! The RN Case Manager serves as a clinical leader and resource within Care Team Operations. In collaboration with Care Team Directors, they provide clinical guidance and support to care teams. This role is responsible for ensuring the delivery of high-quality, patient-centered care while maintaining compliance with Department of Labor (DOL), EEOICPA, state regulatory, and Giving Home Healthcare standards. The RN Case Manager oversees clinical documentation, supports care coordination, facilitates interdisciplinary collaboration, and serves as a subject matter expert for complex patient cases. Through proactive clinical oversight and mentorship, this position helps ensure optimal patient outcomes, regulatory compliance, and clinical excellence across care teams. Primary Responsibilities Clinical Oversight and Compliance Review Plans of Care (POCs), Letters of Medical Necessity (LMNs), and other clinical documentation for accuracyas needed. Reviewandapprove monthly Case Management (CM) notes. Final reviewer of incidents in PHP, ensuring accuracy and completion. Conduct routine audits and spot checks of nursing documentation to ensure quality, consistency, and compliance with organizational and regulatory standards. Complete supervisory visits for patients without an assigned Registered Nurse and for patients assigned to a Licensed Practical Nurse (LPN). Conduct T1001 assessmentsas neededfor patients without an assigned Registered Nurse, patients assigned to an LPN, and for cases requiring mid-authorization increases. Monitor patient status and identify clinical concerns requiring intervention,escalationor investigation. Collaborate with Care Team Directors andClinical team toaddress patient care needs,clinicalstaffing alignmentand education, and high-risk or red-flag cases. Communicate changes in patient condition toteam members and stakeholdersas appropriate. Ensure compliance with DOL, EEOICPA, home health regulations, and organizational policies and procedures. Patient and Family Care Coordination Collaborate with patients,families,and caregiversto address clinical concerns, escalations, care planning, and serviceutilization. Provide education and guidance to patients and families regarding care plans, services, and clinical recommendations. Support continuity of care through effective communication among patients, families, providers, and care teams. Assist in resolving complex patient care issues to promote positive outcomes and patient satisfaction. Care Team Support and Leadership Serve as a clinical resource and consultant for Care Team Directors, Patient Coordinators, and interdisciplinary staff/all staff. Support Care Team Directors in evaluating nursing and Home Health Aide (HHA) utilization to ensure appropriate allocation of authorized care hours and staffing resources. Provide clinical guidance and mentorship to nursing staff and care team personnel. Promoteclinicalcollaboration and best practices across care teams. Participate in team meetings, case conferences, quality improvement initiatives, and organizational projects asassigned. Qualifications Required Qualifications Current, unrestricted Registered Nurse (RN) license in the state of practice (TX). Minimum of three (3) years of nursing experience. Strong knowledge of clinical documentation standards, patient assessment, and care planning. Excellent organizational, communication, and critical thinking skills. Ability to work independently while collaborating effectively with interdisciplinary teams. Proficiency in electronic medical record (EMR) systems and Microsoft Office applications. Preferred Qualifications Bachelor of Science in Nursing (BSN). Experience in home health, case management, care coordination,long-term care, rehabilitation, community health settingsor clinical leadership roles. Knowledge of Department of Labor (DOL) and Energy Employees Occupational Illness Compensation Program Act (EEOICPA) regulations and requirementspreferred. Experience using IGEA or similar healthcare documentation platforms. Core Competencies Patient-Centered Care Clinical Expertise and Judgment Leadership and Mentorship Collaboration and Relationship Building Regulatory Compliance Problem Solving and Critical Thinking Attention to DetailTime Management and Organization Effectiveand InclusiveCommunication Adaptability and Accountability Work Environment and Expectations Primarily office-based with regular travel to patient homes and community settings as needed.May require occasional overnight travel. Must be able to attend team meetings, case conferences, patient visits, and urgent clinical situations. Ability to sit, stand, walk, and travel between locations as required. May require occasional lifting, bending, and other physical activities associated with patient assessments and supervisory visits. Must maintain a valid driver's license and reliable transportation in accordance with organizational requirements. To provide the exceptional care our patients deserve, we rely on a team of passionate, dedicated professionals. We’re committed to creating a supportive, collaborative culture, offering competitive benefits and compensation, and giving our team members the tools and opportunities to grow and advance their careers. Giving Home is dedicated to fostering an inclusive and equitable work environment. We adhere to all applicable federal, state, and local pay transparency laws to ensure fair compensation practices. Giving Home is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic under applicable law. Our employment practices are designed to provide equal opportunity at all stages of employment, including hiring, promotion, training, compensation, and termination. In compliance with applicable pay transparency laws, we are committed to providing clear and accurate information regarding the compensation and benefits associated with our positions. All disclosed salary ranges and benefits are based on a variety of factors, including but not limited to, market data, internal equity, and individual qualifications. These ranges represent the minimum and maximum pay levels for the positions and actual compensation may vary based on experience, skills, and performance. Giving Home is committed to maintaining transparent compensation practices and regularly reviews our policies to ensure compliance with evolving laws and best practices. We value the contributions of our employees and strive to provide a work environment where everyone feels respected, valued, and fairly compensated. #J-18808-Ljbffr Socket.dev