RN Clinical Case Manager

Job Description The RN Case Manager reports directly to the Clinical Supervisor and is responsible for care coordination of clinical staff and patient/family clientele. Responsibilities include admissions and recertification assessments, documentation, compliance with MGA policies, state policies, accrediting agency requirements, reimbursement guidelines, and HIPAA patient confidentiality. The RN Case Manager also participates in program development and collaborates with Client Service Managers to acquire/develop new relationships with clientele. Duties and Responsibilities Ensures supervision of all home‑care personnel, as assigned. Enforces and demonstrates compliance with State and Federal regulations. Ensures effective communication to coordinate the implementation of each patient’s Plan of Care. Instructs, trains, and re‑educates on clinical skills and procedures when necessary. Responsible for direct supervision of field LVNs, LPNs, RNs, and CNAs per State guidelines. Provides support, guidance, and education to patients, families, and caregivers to maintain optimal physical and emotional wellbeing. Communicates all occurrences and other pertinent information to the Clinical Supervisor/Director of Clinical Services. Reports any observed or suspected child or adult abuse, neglect, or exploitation to proper authorities as mandated for health professionals. Collaborates with the Clinical Supervisor and Director of Clinical Services to resolve client/clinical concerns in a timely manner. Office Responsibilities to Ensure and/or Facilitate the following Develops and implements the treatment plan for each patient under the direction of a physician. Completes all clinical documentation in a timely manner, including admissions, recertifications, resumptions of care, accurately and ensures that documentation meets all requirements per agency policies and State regulations. Reviews clinical documentation to ensure it is complete and reflects skilled services to meet payer source requirements for reimbursement. Interviews and evaluates potential clinical field staff to ensure competency in order to promote appropriate and safe patient care. Compiles and participates in continuing quality improvement by appropriately reporting incidents, injuries, infections, and all components of the risk management program. Participates in agency‑sponsored continuing education in‑services and conferences to maintain own clinical competency. Supports and executes the mission, ethics, and goals of the company effectively. Represents themselves in a positive and professional manner in the company and community, adheres to dress code with a clean and neat professional appearance, and reports on time to complete work within designated periods. Adheres to all company policies and procedures outlined in the Employee Handbook, Employee Agreement, or communicated from the executive team. Qualifications Current state license as a Registered Nurse; BSN preferred. Minimum of two years of RN nursing experience in Home Health or Acute settings preferred. Demonstrated leadership capabilities with strong supervisory and interpersonal skills. Detail‑oriented, flexible, with good organizational and time‑management skills. Current CPR card. Current state driver’s license and automobile insurance. #J-18808-Ljbffr