What are the responsibilities and job description for the RN Case Manager - Home Health position at CNSCares?
Description
Salary: $80,000 per year or more depending on experience
Location: Oak Ridge, TN
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 to practice professional nursing in each state where patient care is supervised
- 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
#TFIND
Salary : $80,000