RN Case Manager - Home Health at CNSCares

Lenoir City, Tennessee, United States -

Full Time

Start Date

Immediate

Expiry Date

28 Sep, 26

Salary

80000.0

Posted On

30 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Case Management, Patient Care Coordination, Clinical Supervision, Documentation, Plan Of Care Implementation, Staff Training, Quality Assurance, Payor Policy Knowledge, Patient Advocacy, Chart Review

Industry

Hospitals and Health Care

Description

Description 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 back up 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

Responsibilities

The RN Case Manager oversees coordinated care for patients and manages day-to-day clinical activities within their service area. Responsibilities include conducting in-home visits, supervising staff, and ensuring accurate documentation for patient reauthorization.