RN Case Manager at CNSCares
Oak Ridge, TN 37830, USA -
Full Time


Start Date

Immediate

Expiry Date

09 Oct, 25

Salary

85000.0

Posted On

09 Jul, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Documentation, Customer Service, Nursing Documentation, Training

Industry

Hospital/Health Care

Description

CERTIFICATES, LICENSES, REGISTRATIONS, & MEDICAL REQUIREMENTS·

  • Valid Driver’s License
  • Active RN License
Responsibilities

SUPERVISORY RESPONSIBILITIES

This position has direct supervisory responsibilities. This position will perform supervisory visits as needed.
QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and /or ability required.

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 back up administrator as assigned.
  • Other duties as assigned
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