Care Manager - Home Healthcare

CNSCares•Lenoir City, TN

2h•$19 - $24•Onsite

About The Position

On behalf of CNS Cares, LLC (“CNS” or “Company”), the Care Manager is responsible for overseeing the delivery of coordinated care for a patient and/or an assigned group of patients, as well as scheduling our direct care staff for patient visits. Additionally, this position is responsible for maximizing authorization units, advocating for the needs of each patient, communication with all entities to provide quick and accurate service, and ensure patient satisfaction with impeccable service. Employee must have regular attendance/punctuality, be able to work with others at all levels of the Company, have exceptional customer service, and be completely honest. Other assigned duties include: Demonstrating excellent communication skills. Communicating regularly with patients, nurses, home health aides, and claims team. Communicating with the Executive Director and Director of Nursing on patient status and care being provided in home. Scheduling visits for the care team within the electronic medical record (EMR). Working to find coverage in situations where there is staffing needs. Working with the recruiting team and local leadership to adequately source and hire new staff. Expectation to utilize 100% of authorized hours. Ensuring clinical compliance items are scheduled and completed per company and state guidelines. Identifying patient needs for durable medical equipment and coordinating with DME companies to ensure patients’ needs are met. Evaluating patient conditions not currently covered by the Department of Labor and coordinating and assisting patients to get consequential illnesses added to their DOL covered conditions. Assisting the authorization team with start of cares and renewal periods to advocate and justify the appropriate care level for each patient. Attending medical appointments with patient to assist as a resource to physicians regarding the Department of Labor Home Health Care program. Gathering medical records as needed. Ensuring all authorized units are staffed by the assigned skilled nurse or home health aide with expectation to limit overtime. Coordinating with GM and DON for appropriate direction. Providing EMR and home orientation training to staff. Participating in an on-call rotation. Adhering to all company policies. Other duties as assigned.

Requirements

High School Diploma
At least two (2) years of experience in healthcare; or equivalent combination of education and EEOICPA experience.
At least two (2) years of staff scheduling experience required.
Must be at least 21 years of age
Knowledge of HIPAA regulations and the ability to maintain strict confidentiality of patient information.
Ability to establish interpersonal relationships with people from diverse socioeconomic and cultural backgrounds.
Able to wear personal protective equipment (e.g., face mask, goggles, latex/non-latex gloves) as needed.
Ability to work effectively within role independently and with other team members.
Ability to organize and complete work in a timely manner.
Ability to understand medical/surgical terminology.
Ability to travel up to 80% of time in designated territory.
Valid Driver’s License
Criminal background check
Driving Record check
OIG Exclusion List check
Sex Offender Registry check

Nice To Haves

Associate's Degree or Bachelor’s Degree preferred
At least two (2) years of Department of Labor / EEOICPA experience
Home health experience preferred

Responsibilities

Oversee the delivery of coordinated care for patients.
Schedule direct care staff for patient visits.
Maximize authorization units.
Advocate for patient needs.
Communicate with all entities for quick and accurate service.
Ensure patient satisfaction.
Communicate regularly with patients, nurses, home health aides, and claims team.
Communicate with the Executive Director and Director of Nursing on patient status and care.
Schedule visits for the care team within the EMR.
Find coverage for staffing needs.
Work with recruiting and local leadership to source and hire new staff.
Utilize 100% of authorized hours.
Ensure clinical compliance items are scheduled and completed per company and state guidelines.
Identify patient needs for durable medical equipment and coordinate with DME companies.
Evaluate patient conditions not covered by the Department of Labor and assist patients in adding consequential illnesses to their DOL covered conditions.
Assist authorization team with start of cares and renewal periods to advocate and justify appropriate care levels.
Attend medical appointments with patients as a resource to physicians regarding the DOL Home Health Care program.
Gather medical records as needed.
Ensure all authorized units are staffed by assigned skilled nurse or home health aide, limiting overtime.
Coordinate with GM and DON for appropriate direction.
Provide EMR and home orientation training to staff.
Participate in an on-call rotation.
Adhere to all company policies.
Perform other duties as assigned.