Care Manager - Home Healthcare

CNSCares•Richland, WA

5d•$24 - $26•Onsite

About The Position

The Care Manager oversees coordinated care for an individual patient or an assigned group of patients. The role focuses on maximizing authorized care units, advocating for patients’ needs, communicating with relevant parties to provide timely and accurate service, and ensuring patient satisfaction. This is an in-office, full-time position in Richland, Washington, with a Monday–Friday, 8:00 a.m.–5:00 p.m. schedule and participation in an on-call rotation. The position requires travel of up to 80% of the time in the designated territory.

Requirements

High school diploma.
At least two years of healthcare experience, or an equivalent combination of education and EEOICPA experience.
At least two years of staff scheduling experience.
Valid driver’s license.
Knowledge of HIPAA regulations and ability to maintain strict confidentiality of patient information.
Ability to establish interpersonal relationships with people from diverse socioeconomic and cultural backgrounds.
Ability to wear personal protective equipment, such as a face mask, goggles, and latex or non-latex gloves, as needed.
Ability to work independently and effectively with other team members.
Ability to organize and complete work in a timely manner.
Ability to understand medical and surgical terminology.
Ability to travel up to 80% of the time in the designated territory.

Nice To Haves

Associate’s or bachelor’s degree.
Department of Labor / EEOICPA experience.
Home health experience.

Responsibilities

Communicate regularly with patients, nurses, home health aides, claims team, the Executive Director, and the Director of Nursing about patient status and care provided at home.
Schedule care-team visits in the electronic medical record (EMR), find coverage for staffing needs, work with recruiting and local leadership to source and hire staff, maximize use of authorized hours, and ensure clinical compliance items are scheduled and completed according to company and state guidelines.
Identify patients’ durable medical equipment needs and coordinate with DME companies to address them.
Evaluate patient conditions not currently covered by the Department of Labor and help patients seek coverage for consequential illnesses.
Assist the authorization team with start-of-care and renewal periods, advocating for and justifying the appropriate level of care.
Attend medical appointments with patients and provide physicians with information about the Department of Labor Home Health Care program.
Gather medical records as needed.
Ensure authorized units are staffed by assigned skilled nurses or home health aides while limiting overtime, coordinating with the GM and DON for direction.
Provide EMR and home-orientation training to staff.
Participate in an on-call rotation.
Adhere to company policies and perform other assigned duties.