Clinical Care Manager - Home Health Care - Full Time

Virtua Health

13d•$86,960 - $138,844•Onsite

About The Position

At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between – we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics. Summary: A professional registered nurse who has clinical accountability for the coordination, monitoring and management of patient care resources to promote efficient delivery of patient care services at the appropriate level while maintaining the Virtua standard of quality of care to all patients. Coordinates patient care and communicates extensively with members of the interdisciplinary team. Acts as a resource to staff in defining/educating/implementing and evaluating patient care and nursing practice standards utilizing clinical expertise, nursing process, concepts/principles of case management/utilization management/disease management, quality improvement, and education. Adheres to all standards, policies and State and Federal Regulations.

Requirements

Minimum of 2 years experience in specialty area.
3-5 years experience in home care.
Excellent verbal and written communication skills.
Graduate of accredited School of Nursing.
BSN required.
Current NJ RN License.
Oasis coding.
BLS certification.

Responsibilities

Review and correct clinical documentation, focusing on patient medical data base, assessments and plan of care. Ensure documentation meets compliance requirements for regulatory bodies. Resource to staff in defining/education/implementing and evaluating patient care.
Manage utilization of services by coordinating care and communicating extensively with members of the interdisciplinary team. This is to ensure appropriate utilization of services and prevent lower utilization of services.
Ensure all clinicians involved in case are aware of case management/utilization management/disease management, quality improvement and education that is clinically appropriate within reimbursement guidelines for each episode.
Ensures a high level of customer satisfaction and works with others to improve customer satisfaction over a period of time. Maintains a safe environment.