RN Clinical Case Manager

Job Description

Duties and Responsibilities   

• Ensures supervision of all home care personnel, as assigned:
• Enforces/ demonstrates compliance with State/ Federal regulations.
• Ensures effective communication to coordinate the implementation of each patient’s Plan of Care.
• Instruct, train, and re-educate 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/patient families and or 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 as a health professional. 
• Collaborates with Clinical Supervisor and Director of Clinical Services to resolve client/clinical concerns in timely manner.

Office Responsibilities to Ensure and/or Facilitate the following:

• Develops and implements the treatment plan for each patient under the direction of physician.
• Completes all clinical documentation in timely manner, including admissions, recertification’s, 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/safe patient care.
• Complies and participates in the continuing quality improvement by appropriately reporting of incidents, injuries, infection 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.
  • Reports on time and as scheduled in order to complete work within designated time.
  • Adheres to all company policies and procedures outlined in Employee Handbook, Employee Agreement, or communicated from executive team.

Clinical Manager Oversight

• Making patient and personnel assignments;
• Coordinating patient care;
• Coordinating referrals;
• Assuring that patient needs are continually assessed; and
• Assuring 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, good organizational and time management skills.
• Knowledge of cost management for clinical services.
• Current CPR card and Current health certificate as applicable.
• Current state driver’s license and automobile insurance.

Additional Information

The salary range for this position is $60,000-$75,000 annually.

Benefits include:

• Competitive wages
• Weekly pay
• Medical, Dental & Vision Coverage – Available 1st of the month following 30 days of employment
• Health Savings Accounts (HSA)
• Flexible Spending Accounts (FSA)
• Voluntary Short Term & Long Term Disability
• Employee Assistance Program (EAP)
• 401(k) retirement plan
• Paid Time Off (PTO)
• 7 Company Paid Holidays
• 100% Company Paid Life Insurance
• Voluntary Life Insurance
• Accident, Hospital, and Critical Illness Insurance
• Identity Theft Protection Plan
• Discounted Legal Care Plan

All your information will be kept confidential according to EEO guidelines.

PandoLogic. Keywords: Medical Case Manager, Location: Denver, CO - 80217 , PL: 513897254