Clinical Case Manager, Care Management
$93.4k - $116.8kVNS Health
What We Provide
- Referral bonus opportunities
- Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
- Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
- Employer-matched retirement saving funds
- Personal and financial wellness programs
- Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
- Generous tuition reimbursement for qualifying degrees
- Opportunities for professional growth and career advancement
- Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities
What You Will Do
- Review all clinical documentation completed by Registered Nurse Field Supervisors (RNFS) for comprehensiveness, accuracy, proper formatting, legibility, and compliance with standards of care.
- Maintain collaborative relationships with personnel from other provider organizations to coordinate patient services, develop joint educational initiatives, and ensure compliance with contractual clinical management obligations.
- Develop, implement, and maintain clinical policies and procedures in collaboration with team members while ensuring adherence to accreditation and regulatory standards.
- Participate in the development and maintenance of clinical evaluation tools used for RNFS screening, orientation, and field performance assessments.
- Contribute to the planning and development of business strategies focused on expanding nursing service opportunities.
- Assist in developing marketing strategies and actively participate in marketing initiatives to support business growth.
- Provide on-call coverage based on departmental needs.
- Counsel and advise individuals inquiring about services regarding appropriate levels of care and referral pathways for members and caregivers.
- Serve as a clinical resource and subject matter expert for staff across the organization.
- Ensure the delivery of high-quality patient care within the assigned area by supporting schedulers and RNFS in completing timely field visits for supervision, assessment, training, support, and crisis management.
- Anticipate and prevent patient incidents by addressing potential care or service-related issues communicated by Clinical Case Managers (CCMs), supervisors, HHAs, RNFS, patients, and caregivers.
- Participate in the investigation of incidents and complaints within the assigned area and collaborate with leadership on disciplinary actions when necessary.
- Support department leadership in onboarding and educating new staff members. Conduct field supervision and performance oversight for RNFS during their initial three months in a new role and annually thereafter.
- Monitor email communications to identify changes in patients’ clinical conditions that may require escalation or modifications to the aide plan of care.
- Evaluate the effectiveness and efficiency of care and services provided, initiating case management conferences with healthcare team members as appropriate.
- Ensure all services are delivered in accordance with accepted nursing practices, regulatory requirements, and accrediting body standards.
- Participate in Quality Assurance and Performance Improvement (QAPI) activities as assigned.
- Assist with special projects and perform additional duties as assigned.
Qualifications
Licenses and Certifications:
License and current registration to practice as a Registered Professional Nurse, in New York State required
CPR Certification required
Education:Bachelor's Degree in Nursing from an approved program required
Master's Degree in Nursing preferred
Work Experience:Minimum two years clinical experience required
Minimum of two years managerial experience in a LHCSA or CHHA preferred
Proficiency in Microsoft Office applications required
Excellent problem-solving and organizational, interpersonal, and verbal and written communication skills required
Pay Range USD $93,400.00 - USD $116,800.00 /Yr.
About Us VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.
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