RN Case Manager - Home Healthcare

Salary: $80,000 per year or more depending on experience

Location: Lenoir City, 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

- 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