Care Manager - Home healthcare

CNSCares•Idaho Falls, ID

1d•$23 - $25•Onsite

About The Position

The Care Manager oversees the coordinated delivery of care for a patient or assigned group of patients. The role focuses on maximizing authorized care units, advocating for patient needs, coordinating communication among relevant parties, and delivering responsive service that supports patient satisfaction. This is an in-office, full-time position in Westminster, Colorado, with a Monday–Friday schedule from 8:00 a.m. to 5:00 p.m. The position participates in an on-call rotation and may require travel up to 80% of the time within the designated territory. The Care Manager coordinates patient care-team schedules in the electronic medical record, addresses staffing gaps, supports recruiting and hiring, and ensures clinical compliance items are scheduled and completed. The role also coordinates durable medical equipment, assists patients with Department of Labor coverage matters, supports authorization and renewal processes, attends medical appointments as a resource, gathers medical records, and provides staff orientation and training.

Requirements

High school diploma and an associate degree in a related field.
At least two years of healthcare experience, or an equivalent combination of education and EEOICPA experience.
At least two years of staff scheduling experience.
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 within the role and collaboratively with 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.
Valid driver's license.
Must undergo criminal background, driving record, OIG Exclusion List, and Sex Offender Registry checks.

Nice To Haves

Associate's degree or bachelor's degree preferred.
At least two years of Department of Labor / EEOICPA experience.
Home health experience.

Responsibilities

Communicate regularly with patients, nurses, home health aides, the claims team, the Executive Director, and the Director of Nursing regarding patient status and care.
Schedule care-team visits in the electronic medical record and find coverage when staffing needs arise.
Work with recruiting and local leadership to source and hire staff.
Work toward using 100% of authorized hours and ensure clinical compliance items are scheduled and completed according to company and state guidelines.
Identify patient needs for durable medical equipment and coordinate with DME companies.
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 appropriate care levels.
Attend medical appointments with patients and serve as a resource to physicians regarding 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; coordinate with the General Manager and Director of Nursing for direction.
Provide electronic medical record and home orientation training to staff.
Participate in an on-call rotation.
Follow company policies and perform other assigned duties.