RN Pediatric Clinical Case Manager

Job Overview RN Pediatric Clinical Case Manager 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/procedures when necessary. Responsible for direct supervision of field LVNs/LPNs/RNs 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. Ensures any observed or suspected child/adult abuse, neglect, or exploitation is reported to proper authorities as mandated. Collaborates with the Clinical Supervisor and Director of Clinical Services to resolve client/clinical concerns in a timely manner. Office Responsibilities 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, and ensures that documentation meets all 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. Complies and participates in continuing quality improvement by reporting incidents, injuries, infections, and all components of the risk management program. Participates in agency‑sponsored continuing education in‑services and conferences to maintain clinical competency. Supports and executes the mission, ethics, and goals of the company. Represents themselves in a positive and professional manner in the company and community. Adheres to dress code with a clean and neat professional appearance. Reports on time and as scheduled to complete work within the designated time. Adheres to all company policies and procedures outlined in the Employee Handbook, Employee Agreement, or communicated from the executive team. Clinical Manager Oversight Makes patient and personnel assignments. Coordinates patient care. Coordinates referrals. Assures that patient needs are continually assessed. Assures the development, implementation, and updates of the individualized plan of care. Qualifications Current state license as a Registered Nurse (BSN preferred). Minimum of two years of nursing experience in a Home Health or Acute setting preferred. Demonstrate leadership capabilities with strong supervisory and interpersonal skills. Detail oriented, flexible, with good organizational and time management skills. Knowledge of cost management for clinical services. Current CPR card and health certificate as applicable. Current state driver’s license and automobile insurance. EEO Statement MGA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other status protected by applicable law.

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